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一位60岁男性患者，高血压史已五年。2小时前在劳动时突发剧烈头痛，在急诊室时，检查血压为23.4/13.6kPa（180/105mmHg），神清，右上、下肢肌力Ⅱ级，右侧痛觉明显减退。入院后，血压未再波动，但神志转入昏迷、瞳孔左]右，左侧瞳孔对光反应消失，颈稍强，右侧肢体仍未见活动，右侧Babinski征（+），左侧Gordon征（+）。

高血压性脑出血的主要机理是（）

A.脑内动脉外膜不发达，管壁较薄，易致破裂出血

B.动脉硬化内膜粗糙，形成内膜溃疡，在高血压作用下而血管破裂

C.在高血压基础上，合并脑内动静脉畸形，故易出血

D.持续高血压可使小动脉硬化，脂肪玻璃样变，形成微动脉瘤导致破裂

E.实质上是脑内静脉循环障碍和静脉破裂

答案

参考答案：D

单项选择题

（）位于鄞州区鄞江镇，它与国内的郑国渠、灵渠、都江堰合称为中国古代四大水利工程，是全国重点文物保护单位。

A.通济堰

B.它山堰

C.鸡鸣堰

D.石室堰
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单项选择题

Sometimes we have specific problems with our mother; sometimes, life with her can just be hard work. If there are difficulties in your (1) , it’s best to deal with them, (2) remember that any (3) should be done (4) person or by letter. The telephone is not a good (5) because it is too easy (6) either side to (7) the conversation.

Explain to her (8) you find difficult in your relationship and then (9) some new arrangements that you think would establish a (10) balance between you. Sometimes we hold (11) from establishing such boundaries because we are afraid that doing (12) implies we are (13) her. We need to remember that being (14) from our mother does not (15) mean that we no longer love her. If the conflict is (16) and you cannot find a way to (17) it, you might decide to give up your relationship with your mother for a while. Some of my patients had (18) "trial separations". The (19) allowed things to simmer down, enabling (20) .

（3）（）

A.contradiction

B.estimation

C.confrontation

D.immersion
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