女孩，8岁。近7d来先出现双下肢无力，后出现双上肢无力，双下肢发麻。检查：脑神经无异常，心、肺无异常，呼吸每分钟30次，双上肢肌力Ⅳ级，双下肢肌力Ⅲ级，张力低下，膝腱反射消失，巴氏征阴性，双下肢痛觉、触觉及深感觉存在。入院后脑脊液压力正常，蛋白定量1．5g／L，细胞数4×106／L（4／mm）。
假设该病例在病程第8天出现吞咽困难、声音嘶哑、饮水呛咳，伴呼吸表浅、次数增加。应首先考虑其属于下列哪项（）
A.合并呼吸肌麻痹
B.合并吸入性肺炎
C.合并低钾危象
D.合并第Ⅸ、Ⅹ脑神经受累
E.合并呼吸肌麻痹和第Ⅸ、Ⅹ脑神经受累
参考答案：E
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| Two runners stand side by side at the starting line of a race. Both look very strong and fast. 1 one runner speeds ahead and wins the race. The other falls behind. Some athletes can reach great 2 such as the achievement of an Olympic gold medal. Others never live up to their 3 . What kind of 4 before a race or another event makes the 5 ? Everyone knows that athletes work out to strengthen their 6 . But research shows that strengthening the mind may be just as 7 . Careful study indicates that the best athletes win 8 because they think they can win. Thinking positive thoughts seems to give possibility for 9 in sports. People who say "I know I can do this" to themselves over and over often find they have the 10 to win. On the other hand, people who think "I can't win" often 11 . One procedure that helps many athletes is creating 12 in the mind. They are told to think of each 13 they must make to win. Some use pictures that are more fanciful (富于幻想的). One skater liked to 14 a star bursting inside her, 15 her with energy. Another athlete who wanted to feel 16 pictured himself as a 17 floating in the air. Next time you want to do something well, try training your 18 to help you. Perhaps a teacher or another instructor can help you plan your training. If you imagine yourself doing better, you may soon see 19 in what you 20 can do. Positive thinking and pictures created in your mind can help you win! | ||||
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