患者，女性，26岁。孕1产0，孕40周，因规律宫缩6小时入院。胎心监护提示胎心基线160次/分，伴有早期减速，B超提示脐带绕颈1周。 * * 检查：先露头，S-1，宫口开大3cm，胎膜未破，估计胎儿体重3300～3500g，骨盆测量正常。人工破膜后见羊水Ⅱ度污染，再次出现宫缩时胎心减速。
该患者最可能的诊断为（）
A.胎盘早剥
B.脐带脱垂
C.急性胎儿窘迫
D.慢性胎儿窘迫
E.相对头盆不称
参考答案：C
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| One day I came home from school, changed my clothes and got ready for work. I work at a local restaurant in town as a cashier, seater and waiter. I went to work feeling 1 . And to make matters worse, I was busy that evening. It's the same thing over and over again. 2 with customers who complain about their food and where they are 3 is too big or too small. Little things like that tend to 4 a lot of us 5 but we manage to deal with it. Three elderly ladies walked in and sat by the windows. It happened to be the very 6 near where I keep the dirty 7 in the boxes. Trying to keep up with all the dirty tables, customers leaving and coming in and 8 running all over the house, it was crazy. 9 these elderly women were watching 10 I was working to make sure every table was clean and ready for the next customers. When they 11 their meals, I took their plates back to the kitchen. They talked to me for a while about school, how I was doing, what 12 I was in and what I planned to do in the future. 13 they were leaving, they walked past me and one of them said to me in a 14 and gentle voice, "You are going places. And that was it." They left the 15 and I had tears in my eyes, because they gave me 16 to believe in myself. They 17 my spirit from being down and gave me a 18 to keep on working hard. People used to tell me that I couldn't have a career in 19 until I had a degree. I'm now a co-anchor (联合主持人)of a student-produced television 20 . And the best thing is: I'm only 17 years old and I am a senior in high school. | ||||
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