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问题 多项选择题

患者男性，由马车摔下，出现颈部疼痛，颈椎前屈僵硬，四肢感觉运动正常，X线片示颈s椎体向前脱位，椎弓根骨折，诊断无脊髓损伤性颈椎骨折脱位，有关其致伤机制，下列哪些说法正确

A．椎弓根骨折，致椎管前后结构分离，形成足够的安全间隙是脊髓得以完整的原因

B．骨折脱位时后部相邻椎体间黄韧带撕裂，棘突及椎板张开是脊髓损伤较小的原因

C．多由屈曲性损伤造成

D．一经诊断，必须立即将屈曲的颈椎伸展复位，以恢复正常的解剖关系

E．手术的目的在于清除局部血肿及增生组织。解除压迫

答案

参考答案：A,B,C

解析：对此类损伤，应维持于略屈曲位牵引，逐渐过渡到中立位，手术的目的是为了使颈椎获得足够的稳定性。

选择题

下面是一位同学实验报告中的记录，其中合理的是 [ ]

A．用50mL的量筒量取10mL的水

B．清洗玻璃仪器后，内壁上有少量水珠即干净

C．酒精灯不用时用灯帽盖上，防止酒精挥发

D．用150mL酒精和50mL水配制200mL医用消毒酒精
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填空题

Most "unassertive" people are not confident and take no for an answer much too easily. There is a growing awareness in our society that this tendency (1) the rights of large numbers of people. For example, in recent years there has been an upsurge in (2) and pressure groups. This is a (3) as there will always be a need for such organizations to (4) individuals and minorities in a competitive society. The danger is that we (5) for our rights and lose the art of asserting ourselves. It is better for (6) with other people if you can learn (7) for yourself.
Now, we have to learn to ignore some of the (8) that may be ringing in our unconscious minds, such as: "If you ask once more, I’ll flatten you", and " (9) ".
The main technique that we use in (10) to practice the art of persistence is called Broken Record. (11) we hear one sentence over and over again until we reach screaming pitch and (12) .
Broken Record is the skill of being able to repeat over and over again, (13) , what it is you want or need, until the other person gives in or (14) .
Now, this technique is extremely useful for dealing with situations where your rights are clearly (15) , or coping with situations where you are likely to be diverted by clever, (16) .
The beauty of using Broken Record is that you (17) because you know exactly what you are going to say, however (18) the other person tries to be.
As with most assertive techniques, it must be used appropriately. It is (19) and is not designed to foster deep, interesting conversations and friendships with people! It is primarily of use in situations where (20) .
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