患者,女,32岁,妊娠24周,月经周期正常,B超检查,LOA,双顶径为44mm,胸径40mm,腹径40mm,胎动正常,胎心124次/分,羊水池最大直径2cm,肾脏结构隐约可见,膀胱未显示 最可能引起该病的原因是
A. 胎儿脑发育不全
B. 21-三体综合征
C. 胎肺发育不良
D. 胎儿泌尿系统畸形
E. 胎儿先天性心脏病
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产妇,35岁,孕2产1,妊娠40周临产,产前估计胎儿体重4000g,第一产程顺利,第二产程延长,阴道检查:胎先露棘下2cm,胎头矢状缝在3点和9点,行会阴侧切胎吸助娩,胎头娩出后,前肩嵌顿于耻骨联合上方,常规手法不能娩出胎肩,后反复旋转牵拉胎颈4分钟,最终娩出一男婴,体重4600g,Apgar评分1分钟2分,5分钟10分 目前选择的处理哪项是不恰当的
A. 屈曲大腿
B. 抬高臀部
C. 耻骨联合上方后肩压前肩并同时牵拉胎儿
D. 当后肩入盆时,将后肩向侧上旋转,同时将胎头同向旋转,当后肩旋转至前肩位置时娩出
E. 握住胎儿后上肢沿胎儿胸前滑出阴道而娩出后肩及后上肢,再将胎肩旋转至骨盆斜径上,牵引胎头使前肩入盆即可娩出
案例分析题阅读茅盾《香市》片段,回答下列小题:天气虽然很好,“市面”却很不好。社庙前虽然比平时多了许多人,但那空气似乎很阴惨。居然有锣鼓的声音。可是那声音单调,庙前的乌龙潭一泓清水依然如昔,可是潭后那座戏台却坍塌了,屋椽子像瘦人的肋骨似的暴露在“光风化日”之下。一切都不像我儿时所见的香市了!在我看来,这所谓“南洋武术班”的几套把式比起从前“香市”里的打拳头卖膏药的玩意来,委实是好看得多了。……但是今天第一天也只得二百来看客。往常“香市”的主角——农民,今天差不多看不见。后来我知道,镇上的小商人是重兴这“香市”的主动者;他们想借此吸引游客“振兴”市面,他们打算从农民干瘪的袋里榨出几文来。可是他们这计划失败了! 在重兴“香市”后,“往常‘香市’的主角——农民,今天差不多看不见”,香市主角的转移反映了什么问题?
The relation of language and mind has interested philosophers for many centuries. 61) The Greeks assumed that the structure of language had some connection with the process of thought, which took root in Europe long before people realized how diverse languages could be.Only recently did linguists begin the serious study of languages that were very different from their own. Two anthropologist-linguists, Franz Boas Edward Sapir, were pioneers in describing many native languages of North and South America during the first half of the twentieth century. 62) We are obliged to them because some of them languages have since vanished, as the peoples who spoke them died out or became assimilated and lost their native languages. Other linguists in the earlier part of this century, however, who were less eager to deal with bizarre data from "exotic" language, were not always so grateful. 63) The newly described languages were often so strikingly different from the well studied languages of Europe and Southeast Asia that some scholars even accused Boas and Sapir of fabricating their data. Native American languages are indeed different, so much so in fact that Navajo could be used by the US military as a code during World War II to send secret messages.Sapir’s pupil, Benjamin Lee Whorf, continued the study of American Indian languages. 64) Being interested in the relationship of language and thought, Whorl developed the idea that the structure of language determines the structure of habitual thought in a society. He reasoned that because it is easier to formulate certain concepts and not others in a given language, the speakers of that language think along one track and not along another. 65) Whorf came to believe in a sort of linguistic determinism which in its strongest form, states that language imprisons the mind, and that the grammatical patterns in a language can produce far-reaching consequences for the culture of a society. Later, this idea became to be known as the Sapir-Whorf hypothesis, but this term is somewhat inappropriate. Although both Sapir and Whorf emphasized the diversity of languages, Sapir himself never explicitly supported the notion of linguistic determinism. The newly described languages were often so strikingly different from the well studied languages of Europe and Southeast Asia that some scholars even accused Boas and Sapir of fabricating their data.
患者,女,28岁,G1P0,妊娠30周。近1周腹部迅速增大,腹胀痛、气促、心悸、不能平卧2天入院。检查:血压120/80mmHg,心率100次/分,律齐,无杂音,呼吸24次/分,双肺呼吸音清晰,宫高40cm,腹围105cm,胎心率140次/分,胎心音轻而遥远,胎位不清 最恰当的治疗方法是
A. 人工破膜引产
B. 继续观察
C. 毛花苷丙静脉注射
D. 经腹行羊膜腔穿刺术放羊水
E. 静滴缩宫素引产