| 男性，70岁。10年来患高血压病，2小时前因有不顺心的事，血压突然升高达 200/120mmHg，呼吸困难不能平卧，发生急性左心衰竭来诊。 |
该患者的治疗选择
A．枕颌带牵引
B．静脉药物溶栓
C．手术治疗
D．对症治疗
参考答案：C
解析：
[考点] 脊髓型颈椎病
[分析]： 男性，55岁，四肢出现锥体束症状及体征已1年，排尿费力半年，逐渐进展，病变应定位在颈髓。颈椎X线片有颈椎管狭窄，MRI见C4-7脊髓腹背受压，其诊断应该是脊髓型颈椎病。主要与脊髓侧索硬化症鉴别，肌萎缩性脊髓侧索硬化症是一种原因不明的神经元疾病，表现为对称性发病，进行性肌萎缩，从手向近端发展，最后可侵及舌肌和咽部，无感觉障碍，可与脊髓型颈椎病鉴别。诊断确立后，应及早行手术治疗，解除对脊髓的压迫，以利其恢复。此例脊髓受压范围是C4-7，范围较广，宜后路手术，切除椎板减压。
请认真阅读下列短文, 并根据所读内容在文章后表格中的空格里填入最恰当的单词。注意：每空格1个单词。 The job of raising children is a tough one. Children don’t come with an instruction handbook. And each child is different. So parents sometimes pull their hair out in frustration, not knowing what to do. But in raising children---as in all of life---what we do is influenced by our culture. Naturally then, American parents teach their children basic American values. To Americans, the goal of parents is to help children stand on their own two feet. From infancy, each child may get his or her own room. As children grow, they gain more freedom to make their own choices. Teenagers choose their own forms of entertainment, as well as the friends to share them with. When they reach young adulthood, they choose their own careers and marriage partners. Of course, many young adults still seek their parents’ advice and approval for the choices they make. But once they "leave the nest" at around 18 to 21 years old, they want to be on their own, not "tied to their mother’s apron strings." The relationship between parents and children in America is very informal. American parents try to treat their children as individuals ─ not as extensions of themselves. They allow them to fulfill their own dreams. Americans praise and encourage their children to give them the confidence to succeed. When children become adults, their relationship with their parents becomes more like a friendship among equals. But contrary to popular belief, most adult Americans don’t make their parents pay for room and board when they come to visit. Even as adults, they respect and honor their parents. Most young couples with children struggle with the issue of childcare. Mothers have traditionally stayed home with their children. In recent years, though, a growing trend is to put preschoolers in a day care center so Mom can work. Many Americans have strong feelings about which type of arrangement is best. Some argue that attending a day care center can be a positive experience for children. Others insist that mothers are the best caregivers for children. A number of women are now leaving the workforce to become full-time homemakers. Disciplining children is another area that American parents have different opinions about. Many parents feel that an old-fashioned spanking(一顿打) helps youngsters learn what "No!" means. Others prefer alternate forms of discipline. For example, "time outs" have become popular in recent years. Children in "time out" have to sit in a corner or by a wall. They can get up only when they are ready to act nicely. Older children and teenagers who break the rules may be grounded, or not allowed to go out with friends. Some of their privileges at home like TV or telephone use may also be taken away for a while. Although discipline isn’t fun for parents or children, it’s a necessary part of training. Being a parent is a tall order. It takes patience, love, wisdom, courage and a good sense of humor to raise children. Some people are just deciding not to have children at all, since they’re not sure it’s worth it. But raising children means training the next generation and preserving our culture. What could be worth more than that? Title: The Job of Raising Children
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