问题 单项选择题

女,35岁,经产妇,35+6周妊娠。因全身水肿6天,头痛,视物模糊3天伴恶心呕吐,半小时前抽搐一次急症入院。查体:血压210/110mmHg,水肿(+++),尿蛋白(++),胎心128次/分,宫缩不规律,宫口未开。

要估计血管病变程度,简单易行又有临床意义的检查方法是

A.眼底检查
B.心电图
C.脑血流图
D.头部CT
E.脑血管造影

答案

参考答案:A

解析: 该患者为重度妊娠高血压综合征子痫期,此时24小时尿蛋白应≥5g,容易导致胎盘早剥以及凝血功能障碍等并发症。眼底检查可以反映全身小动脉痉挛程度。其治疗原则为解痉、降压、镇静,合理扩容及利尿,适时终止妊娠。对子痫病人的处理是经药物控制后6~12小时,需考虑终止妊娠。

阅读理解

It was the summer of 1936.The Olympic Games were being held in Berlin.I had trained, sweated and disciplined myself for 6 years on the running broad jump.A year before, as a college student at the Ohio State, I'd set the world's record of 26 feet 8 1/4 inches.Nearly everyone expected me to win.

I was in for a surpriseWhen the time came for the broad-jump trials(选拔赛), I was shocked to see a tall boy hitting the pit (坑) at almost 26 feet on his practice leaps.He turned out to be a German named Luz Long.He had easily qualified for the finals on his first attempt.

A nervous athlete is an athlete who will make mistakes.I fouled (犯规)twice on my qualifying jumps.Walking a few yards from the pit, I kicked at the dirt disgustedly.Suddenly I felt a hand on my shoulder.I turned to look into the friendly blue eyes of Luz Long."Hi, I'm Luz Long.I don't think we've met." "Glad to meet you," I said.Then, trying to hide my nervousness, I added, "How are you?" "I'm fine.Something must be eating you.You should be able to qualify with your eyes closed." He said.

He seemed to understand my nervousness, and took pains to reassure me.Finally, seeing that I had calmed down somewhat, he said, "What does it matter if you're not the first in the trials? Tomorrow is what counts." All the tension left my body as the truth of what he said hit me.Confidently I qualified with almost a foot to spare.

Luz broke his own record and pushed me on to a peak performance.The instant I landed from my final jump—the one which set the Olympic record of 26 feet 5 1/16 inches—he was at my side, congratulating me.

小题1:The author said "I was in for a surprise" because he _____.

A.beat Luz Long

B.met a great competitor

C.qualified for the final

D.joined in the Olympic Games小题2:What can we learn about the author from the passage?

A.He remained confident in the Olympic Games.

B.He had qualified for the finals on his first attempt.

C.He broke the world record of the running broad jump.

D.He had prepared for Berlin Olympics in Ohio State.小题3:What is the passage mainly about?

A.A memorable experience in the Olympics.

B.A reliable man in the Olympic Games.

C.A surprising result in the Olympic Games.

D.A good suggestion on how to win in the Olympics

问答题 简答题