患者，男，48岁。2个月来反复在夜间睡眠中突发心前区闷胀性疼痛，伴出汗，疼痛持续10～15分钟。白天工作活动基本正常。4小时前再次在熟睡中痛醒，性质同前，自服硝酸甘油、速效救心丸约20分钟后疼痛缓解。既往有高血压、糖尿病、脑血栓等病史。
最可能的诊断是（）
A.不稳定型心绞痛
B.变异型心绞痛
C.主动脉夹层
D.卧位型心绞痛
E.急性肺动脉栓塞
参考答案：B
Lillian Hanson, a college student, expects to graduate in about two years. What makes Mrs Hanson different from her classmates is her age-----73 years. She has been studying at college, a few courses at a time, for 27 years. When Lillian Hanson graduated from high school, she went to the bank to borrow money for further education. The banker gave her no encouragement. He didn‘t think that a country girl should borrow money to go to college. He thought she should be at home doing work in the house or around the farm. So Lillian Hanson went home and raised a family of nine children instead of going to college. Mrs Hanson never forgot her dream of getting a higher education. When her children were grown, she tried again. She finds that it is the hardest part of going back to school at her age to sit in class for long periods of time. Because she is not as quick as she used to be, Mrs Hanson often gets up and walks around classes to keep from getting stiff(不灵活). At the beginning of a course in using the computer, the other students all stood up to give her a warm welcome when she introduced herself and explained why she was there and what her aims were. 小题1: Mrs Hanson couldn’t go to college immediately after she graduated from high school because _____.
a. she began her studies at college. b. She finished high school. c. She got married and gave birth of nine children. d. She had her 73 rd birthday. e. She went to the bank to borrow money.
|