女性，39岁。突发剧烈头痛半个月，伴意识障碍，右侧肢体活动减少1周住院。半个月前与家人聊天时突感剧烈头痛，呈持续胀痛，不能忍受，急到私人诊所，测血压为200/100mmHg。半小时后出现意识丧失，肢体强直抽搐，口吐白沫，持续约10分钟自行缓解。急送当地医院行头颅CT检查示颅内出血，腰穿检查示血性脑脊液（具体不详）。给予药物治疗，头痛缓解。1周后患者出现昏睡，表情淡漠，不能言语，同时出现右侧肢体活动减少。查体：呈昏睡状态，颈强直。克氏征、布氏征阳性。右侧肢体肌力2级，右侧巴氏征（+）。提示：发病当天头颅CT提示广泛蛛网膜下腔出血
有助于确诊的检查是（）
A.CT
B.MRI
C.DSA
D.TCD
E.CTA
F.MRA
参考答案：A, B, C, E, F
解析：头颅CT、MRI提示出血吸收情况、高颅压及是否合并脑积水等；1）SA、CTA、MRI能明确出血原因、动脉瘤的部位、动脉瘤的大小、血管痉挛情况等。检查结果提示为前交通动脉瘤。
Dear Mom and Dad, I will go to Alice’s home with her after school, and I will have supper and sleep there. Don’t 21 about me. You know that Alice is one of my 22 friends. If you want to talk with me, you can 23 68610598 after 6:00 pm. Please forgive me for not telling you first. I don’t think you will 24 me to do so if I tell you first. 25 I think teenagers should be allowed to stay at their friends’ houses sometimes. I am sixteen years old and I’m not a little kid 26 . I hope I can make decisions for 27 . At home, there are too many 28 for me to obey: Don’t stay out so 29 ; don’t have meals before 30 hands; don’t watch TV without finishing homework, etc. Parents should be 31 teenagers, but we need freedom, too. I don’t like doing my homework 32 at home. I’d love to study 33 Alice. We can learn a lot from each other. 34 please allow me to stay at Alice’s house once a week. If you 35 , Alice can stay at our house with me, too. Yours, Lillian
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