神经细胞的兴奋性经历();();();()四个阶段的变化,然后又恢复到正常水平。
参考答案:绝对不应期;相对不应期;超常期;低常期
患儿,男性,2岁,因"发现心脏杂音2年"来我院门诊就诊。患儿出生时常规查体发现心脏杂音,但未对此详查。平素活动可,无紫绀、晕厥史。体重及身高发育较同龄儿童稍差,易感冒。门诊查体示:体重10kg;心率98次/分,心律整齐。心前区稍隆起,心脏搏动增强。心音清晰有力,胸骨左缘2~3肋间闻及2/6级柔和的收缩期杂音。双肺呼吸音清,未闻及干、湿啰音。唇甲无紫绀。
(提示患儿经胸骨正中切口,在体外循环辅助下行ASD直视修补术,采用自体心包补片,双头针聚丙烯线连续缝合法。术后恢复良好,顺利出院。出院后一般情况,各项检查无异常,随访1年后失访。患儿从4岁时开始,受凉感冒或活动后出现口唇、指趾端紫绀,且症状逐渐加重,5岁时来院就诊,体查:体重14kg,经皮氧饱和度86%。心前区隆起,心脏搏动增强。叩诊心界向两侧扩大。心率122次/分,心律整齐。心音清晰有力,未闻及杂音。双肺呼吸音清,未闻及干、湿啰音。唇甲轻度紫绀,双下肢无水肿。)根据患儿病史,你认为最可能的诊断是()
A.慢性肺栓塞
B.重度肺动脉高压
C.ASD修补术后腔静脉异位引流
D.心力衰竭
E.间质性肺疾病
F.三尖瓣反流
For the people who have never traveled across the Atlantic the voyage is a fantasy. But for the people who cross it frequently one crossing of the Atlantic is very much like another, and they do not make the voyage for the (56) of its interest. Most of us are quite happy when we feel (57) to go to bed and pleased when the journey (58) . On the first night this time I felt especially lazy and went to bed (59) earlier than usual. When I (60) my cabin, I was surprised (61) that I was to have a companion during my trip, which made me feel a little unhappy. I had expected (62) but there was a suitcase (63) mine in the opposite corner. I wondered who he could be and what he would be like. Soon afterwards he came in. He was the sort of man you might meet (64) , except that he was wearing (65) good clothes that I made up my mind that we would not (66) whoever he was and did not say (67) . As I had expected, he did not talk to me either but went to bed immediately. I suppose I slept for several hours because when I woke up it was already the middle of the night. I felt cold but covered (68) as well as I could and tried to go back to sleep. Then I realized that a (69) was coming from the window opposite. I thought perhaps I had forgotten (70) the door, so I got up (71) the door but found it already locked from the inside. The cold air was coming from the window opposite. I crossed the room and (72) the moon shone through it on to the other bed. (73) there. It took me a minute or two to (74) the door myself. I realized that my companion (75) through the window into the sea.
A. for seeingB. that I sawC. at seeing D. to see