问题 问答题 简答题

杨某,男,40岁,平时工作劳累,饮食睡眠均无规律,形体肥胖。1个月前开始无明显诱因出现胸闷,烦躁,头晕头痛,怀疑血压升高,开始监测血压,1个月来自行检测血压结果,收缩压130~150mmHg,舒张压95~105mmHg。家族中母亲患有高血压病,目前服用硝苯地平缓释片和卡托普利,控制良好。平素头晕头痛,头重如裹,困倦乏力,胸闷,少食多寐,肢体沉重。查体:T36.2C,P84次/分,R20次/分,BP145/100mmHg。双肺呼吸音清,心率84次/分,律齐,肝脾未及,双下肢无浮肿。舌胖苔腻,脉滑。辅助检查:心电图、头颅CT检查均未见明显异常。作出中医病证诊断及西医疾病诊断。

答案

参考答案:

中医病证诊断:眩晕,痰湿内盛证

西医疾病诊断:高血压病1级

解析:中医辨病辨证依据:患者以"头晕头痛、胸闷"为主症,属于中医"眩晕"范畴。患者平素工作劳累,饮食睡眠无规律,损伤脾胃,脾主运化,脾虚运化失常,则水湿聚而成痰;痰浊中阻,清阳不升,则头晕头痛;浊阴不降,则头重如裹。痰浊中阻,阻碍气机,气机不利,故胸闷。湿邪阻滞,气机不畅,则肢体沉重。脾主四肢肌肉,脾虚困倦乏力、食少,舌胖苔腻,脉滑为痰湿内盛之症。四诊合参,证属痰湿内盛证。本病病位在脑,病性为本虚标实之证,目前以标实为主,若治疗及时,预后佳。西医诊断依据:在未服用抗高血压药物情况下,收缩压≥140mmHg和/或舒张压≥90mmHg,患者既往有高血压病史,目前正服用抗高血压药物,即使血压已<140/90mmHg,仍应诊断为高血压病。

阅读理解

阅读理解。

     Have you ever wondered why birds sing? Maybe you thought that they were just happy. After all,

you probably sing or whistle when you are happy.

     Some scientists believe that birds do sing some of the time just because they are happy. However,

they sing most of the time for a very different reason. Their singing is actually a warning to other bird

s to stay out of their territory.

     Do you know what a "territory" is? A territory is an area that an animal, usually the male, claims as

its own. Only he and his family are welcome there. No other families of the same species are welcome.

Your yard and house are your territory where only your family and friends are welcome. If a stranger

should enter your territory and threaten you, you might shout. Probably this would be enough to frighten

him away.

     If so, you have actually scared the stranger away without having to fight him. A bird does the same

thing. But he expects an outsider almost any time, especially at nesting season. So he is screaming all

the time, whether he can see an outsider or not. This screaming is what we call a bird's song, and it is

usually enough to keep an outsider away.

     Birds sing loudest in the spring when they are trying to attract a mate and warn others not to enter

the territory of theirs.

     You can see that birds have a language all their own. Most of it has to do with attracting mates and

setting up territories.

1. According to the passage, most of the time birds' singing is actually        .

A. an expression of happiness

B. a way of warning

C. an expression of anger

D. a way of greeting

2. What is a bird's "territory"?

A. A place where families of other species are not accepted.

B. A place where a bird may shout at the top of its voice.

C. An area for which birds fight against each other.

D. An area which a bird considers to be its own.

3. Why do birds keep on singing at nesting season?

A. Because they want to invite more friends.

B. Because their singing helps frighten outsiders away.

C. Because they want to find outsiders around.

D. Because their singing helps get rid of their fears.

4. How does the writer explain birds' singing?    

A. By comparing birds with human beings.

B. By reporting experiment results.

C. By describing birds' daily life.        

D. By telling a bird's story.

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