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二十五岁初孕妇，妊娠33周，晚上睡觉时因呼吸困难、胸闷急诊入院，查脉搏120次／分，呼吸26次/分，血压120/80mmHg，神清，肺底部可听到少量持续性的湿啰音，胎心音160次／分。

此患者最可能的诊断是（）

A.肺结核

B.肺炎

C.妊娠合并心脏病早期心衰

D.围生期心肌病

E.以上都不是

答案

参考答案：C

单项选择题

阅读下面文章，回答文后问题。
茶马古道
今天人们所说的“茶马古道”，源自古代的“茶马互市”，即先有“互市”，后有“古道”。而“茶马互市”是我国历史上汉藏民族间一种传统的贸易形式，唐代文献中就已经有所记载。
到宋代，内地茶叶生产飞跃发展，其中一部分茶叶“用于博马，实行官营”，在四川的名山等地设置了专门管理茶马贸易的“茶马司”。宋朝统治者为什么如此重视“茶马互市”呢当时契丹、西夏和女真等少数民族的崛起对两宋 * * 造成严重威胁，迫使朝廷同西南地区少数民族保持友好关系，以便集中力量与西北少数民族 * * 抗衡。在这种情况下，“茶马互市”除了为朝廷提供一笔巨额茶利收入补充军费之需外，更重要的是，既满足了国家对战马的需要，又维护了宋朝西南边境的安全。
那么，藏族为什么也很重视“茶马互市”呢因为藏族非常喜欢饮茶。招待客人，首先端出来的就是茶；外出旅行，必带的也是茶；累了，饮几口热茶能立即消除疲劳；病了，饮一口浓茶能解毒去病；用煮过的茶叶喂牲畜，马吃了长膘快，牛吃了增加奶量。尤其藏族平时食用肉、乳较多，喝茶可以解油腻、助消化。对于长期以自给自足的自然经济为主的藏族来说，他们并不需要外界供给很多东西，但茶叶却是绝对不可缺少的。
唐宋以后，汉藏人民之间通过“茶马互市”建立起来的友谊，—直延续到元、明、清。元代为了加强对藏区的管理，在“茶马古道”沿线推行“土官治土民”的土司制度，把以“茶马互市”为主的交通线路定为正式驿路，并设置驿站。从此“茶马古道”既是经贸之道、文化之道，又是治藏安藏之道。
到了清代，“茶马互市”作为一种重要制度逐渐从历史地平线上消失，取而代之的是“边茶贸易”制度。藏族对茶叶的需求有增无减，对其他产品如丝绸、布料、铁器等的需求也开始增加；而内地对藏区马匹的需求虽然减少，却对藏区皮革、黄金，以及虫草、贝母等珍贵药材的需求大幅增加。这样，汉藏之间的贸易范围更加广泛，骡铃声声，马蹄阵阵，“茶马古道”沿线的民间贸易更加繁荣。
“茶马古道”作为连接内地与康藏地区的交通大动脉，历经唐、宋、元、明、清，虽然最终消失，但它对促进康藏地区经济发展、加强汉藏民族融合、维护国家统一的历史作用不容低估。

关于宋朝统治者重视“茶马互市”的目的，下列表述错误的一项是：

A．与藏族等民族保持友好关系，以便同西北少数民族 * * 抗衡。

B．以茶易马，可以满足国家连年战争中对马匹的迫切需要。

C．汉藏之间的贸易往来，有利于维护宋朝西南边境的安全。

D．藏族非常喜欢饮茶，以马易茶可以满足他们对茶叶的需求。
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问答题 案例分析题

1 There are many arguments for and against television.

The poor quality of its program is often criticized and TV

commercials are also boring. So television is undoubtedly 1.__________

a great comfort to many lonely and elderly people.

2 The manager of a large office building had received

many complains about elevator service in the building,

but he engaged a group of engineers to study the situation 2.__________

and make recommendation for improvement.

3 We asked a lady, who replied that she thought

you could tell a well-mannered person by the way

they occupied the space around them——for example,

when such a person walks down a street he or she is

constantly unaware of others. Such people never 3.__________

bump into other people.

4 Until the very latest moment of his existence,

man has been bound the planet on which he

originated and developed. Now he has the capability

to leave that planet and move out into the universe to

those worlds which he has known previously only directly. 4.__________

5 One major decision which faces the American

students ready to begin higher education is the

choice of attending a large university or a small

college. The large university provides a wide range of

specialized departments as well as numerous courses

within such departments. The small college, therefore, 5.__________

generally provides a limited number of courses

and specializations but offers a better student-faculty

ratio, thus permitting individualized attention to students.

6 Music the Johnny has learned to appreciate as

unpleasant is just dull noise to Jimmy——and quite 6.__________

possible, vice versa.

7 We are learning, finally, that silence is a natural

resource and must be protected by law. It appears

that we all find company in sound, if we all 7.__________

demand a little quiet from time to time.

8 The farmer aroused at down or before it and

had much work to do, with his own muscles as his

chief source of power. He used axes, spades and 8.__________

other complicated tools.

9 Whether women who have started a career

will attain pay equality with men rests on at least

two factors. First, will most of them continue

part-time at their jobs after they have children? A 9.__________

break in their employment, or a decision to work

part-time, will slow their raises and promotions as

it would for men.

10 Whether true or not, the story illustrates the

problem with idioms. They are almost possible to 10.__________

understand from the meanings of the individual

words. And with English idioms, even the same

words may have different meanings.

在1处填写改错内容。
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