问题 单项选择题 共用题干题

男性,66岁。5个月前起刺激性干咳,右上胸痛,呈进行性加重就诊。近2周来疼痛沿右肩向右上臂及前臂放射,并出现右额部不出汗、右眼难以睁开。体检:右侧瞳孔缩小,眼球内凹上睑下垂。右上肺叩诊呈浊音,呼吸音降低。余肺清,心脏无阳性发现。X线示右肺尖团块影,边缘不清。

假如2个月后患者出现面部浮肿,右颈部及右上臂肿胀,颈静脉及胸壁静脉充盈,右侧明显,这是由于 ()

A.肿块压迫右腋静脉

B.肿块压迫右锁骨下静脉

C.肿块压迫右颈静脉.

D.肿块压迫右头臂静脉

E.肿块压迫上腔静脉

答案

参考答案:E

选择题
单项选择题

Kevin Hines, a manic-depressive, was 19 and in one of his weekly downswings on an overcast Monday morning in 2000. He went to the nearby Golden Gate Bridge to kill himself mostly because, with only a four-foot (1.2-metre) railing to leap, "I figured it was the easiest way." He dived over, but flipped and hit the water at 75mph with his feet first. His legs were crushed, but he somehow stayed conscious and started paddling with his upper body until the Coast Guard fished him out.

Mr. Hines is one of 26 people who have survived suicide attempts at the bridge, but 1 223 are known to have succeeded (i. e., were seen jumping or found floating). People are throwing themselves off the bridge at the rate of two a month, which makes it the most popular place in the world for suicides. One book on the subject says that the Golden Gate is "to suicide what Niagara Falls is to honeymooners".

Many San Franciscans think that the solution is to emulate the Empire State Building, the Sydney Harbour Bridge, the Eiffel Tower, St. Peter’s basilica and other such places and put up a simple barrier. This, however, is a decision for the 19 board members of the Golden Gate Bridge, Highway and Transportation District, an entity that oversees the bridge itself and the buses and ferries that operate in the area. Most of its revenues’ come from tolls and fares, and the district loses money. A barrier would cost between $15 million and $ 25 million.

So the Psychiatric Foundation of Northern California, which has adopted the barrier as its cause, considers it a success that the board has merely allowed a feasibility study, for which various private and public donors have raised

$ 2 million. Mel Blaustein, a director at the foundation, has heard several arguments against a barrier over the years-too ugly, too expensive, and so forth--but the most persistent has been that people would simply kill themselves somewhere else, so why bother.’ This is nonsense, he says, "Most suicides are impulsive and preventable." A bridge without a barrier, adds Pat Hines, Kevin’s father, is "like leaving a loaded gun in the psychiatric ward.\

What is the author’s attitude towards the foundation of barriers over the bridge()

A.Optimistic

B. Critical

C. Biased

D. Objective