问题
单项选择题
下面关于开瓣音的特点，不正确的是
A．对确诊二尖瓣关闭不全具有重要临床意义
B．常用来作为二尖瓣分离术适应证的参考条件
C．听到开瓣音提示瓣膜弹性和活动性较好
D．出现在第二心音后
E．呼气时增强
答案
参考答案：A
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下面关于开瓣音的特点，不正确的是
A．对确诊二尖瓣关闭不全具有重要临床意义
B．常用来作为二尖瓣分离术适应证的参考条件
C．听到开瓣音提示瓣膜弹性和活动性较好
D．出现在第二心音后
E．呼气时增强
参考答案：A
As a young social worker in a New York City psychiatric clinic, I was asked to see Roz, a 20-year-old woman who had been referred to us from another psychiatric clinic. It was an referral in that no information was received her first appointment. I was told to “play it by ear”, and to what her problems were and what she needed. an examination to go on, I saw Roz as an unhappy, misunderstood young woman who hadn’t been listened to in her earlier treatment. Her family situation was unpleasant. I didn’t see her as disturbed, rather as lonely and misunderstood. She responded so to being heard. I encouraged her to start a life worth living — to find a job, a satisfying place to live and new relationships. We hit it off well, and she making important changes in her life. The records from the previous psychiatric clinic arrived a month after Roz and I began our successful work together. To my complete surprise, her records were several inches thick, a long period of psychiastric hospitalization. Her diagnosis was “paranoid schizophrenic(妄想型精神分裂症)”, with a that she was “hopeless”. That had not been my experience with Roz at all so I decided to forget those pieces of paper. I never treated her as if she had that “hopeless” treatment. I did find out about the horrors for Roz of the hospitalization, of being drugged, separated and abused. I also learned a lot from her about such deeply and unforgettably shocking circumstances. First Roz found a job, then a place to live away from her difficult . After several months of working together, she introduced me to her husband-to-be, a successful businessman who adored her. When we our treatment, Roz gave me the gift of a silver bookmark and a note that said, “Thank you for believing and encouraging me.”
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