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男，36岁，7天前曾患上呼吸道感染，进行性四肢无力3天，呛咳1天。体检：神清，双侧提腭差，咽反射消失，颈软，四肢肌张力低，四肢肌力1级，腱反射阴性；双侧肘膝以下针刺觉减退，跖反射未引出，克氏征阳性。 应提出的护理诊断是( )。
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TEXT D "I wouldn’t want to have someone take my daughter to a hospital for an abortion or something and not tell me. I would kill him if they do that." So much for Arnold Schwarzenegger’s typically expressive sup port for Proposition 73, a constitutional amendment requiring doctors to give parents 48 hours’ notice before carrying out an abortion on a girl under 18. Will the voters agree with the governor His own status erstwhile hedonist turned responsible father of two teenage girls and two pre-teen boys reflects his state’s mixed feelings about sexual politics. California is one of the most sexually liberated states in the nation. It also boasts the fifth worst rate for teen age abortions and the seventh for teenage pregnancies. In 2000, some 116,000 teenagers in California became pregnant, and almost 44,000 of them chose to have an abortion--including 1,620 under the age of 15. A recent Field Poll showed 45% of respondents in favour of the amendment, 45% against and 10% undecided. The proposition’s advocates are careful to argue that supporting parental notification is not the same as opposing abortion full stop. Mr. Schwarzenegger is a "pro-choice Republican" and the proposition would allow a minor to petition a court to allow her an abortion without notifying a parent. The real point, they say, is that a 17-year-old girl "can’t get an aspirin from the school nurse, get a flu shot, or have a tooth pulled without a parent knowing", but a 13-year old can have a surgical or chemical abortion without her parents’ knowledge. And since a majority of the prospective fathers are over 21, the current system in effect condones statutory rape. Opponents, including the California Nurses Association and Planned Parenthood, are unconvinced. As an editorial in the Los Angeles Times argued: "It’s nice to think that all girls feel comfortable talking to their parents about sex, birth control and abortion. Nice, but absurd." Equally absurd, add other opponents, is the notion that a pregnant teenager from an abusive family will have the gumption to go to court rather than to some backstreet operator--to seek her abortion. And they suspect the proposition is the start of an effort to ban all abortions: instead of speaking of a fetus, the proposition defines abortion as causing the "death of the unborn child". Just how parental notification would affect the rate of teen pregnancies and abortions is an open question. Some 34 states require some parental involvement in a minor’s decision to end a pregnancy, but there is no hard and-fast correlation with the number of abortions. For example, New Mexico and New Hampshire require no parental notification, but according to the Alan Guttmacher Institute, which studies reproductive health, they ranked 18th and 25th in the rate of teen abortions in 2000. By contrast, Wyoming and Florida, which do have notification laws, ranked 14th and 7th. And even if notification laws deter abortions, they do not seem to deter teen pregnancies: Texas, for example, is ranked 26th in abortions for girls aged 15--19 but fifth in pregnancies for that age group. This last statistic matters for California, where the main problem is teens getting pregnant in the first place. Roughly a quarter of California’s 14 year-olds and three-fifths of its 17 year-olds have had sex. True, according to the Public Policy Institute of California, birth rates fell from 73 for every 1,000 15--19 year-olds in 1991 to just 44 in 2001. But California’s teenage girls become mothers at between 4 and 12 times the rate of their peers in France, Spain, Italy, the Netherlands and Japan; the figures for blacks and Latinas in the state are particularly appalling. Whatever your views on abortion, these statistics add up to an awful lot of heartache. Which of the following statements about Arnold Schwarzenegger is TRUE
用触诊检查时可发现的体征( )。
麻醉解除且血压平稳后，颈、胸、腹部手术病人应取( )。
TEXT A Theodoric Voler had been brought up, from infancy to the confines of middle age, by a fond mother whose chief solicitude had been to keep him screened from what she called the coarser realities of life. When she died she left Theodoric alone in a world that was as real as ever, and a good deal coarser than he considered it had any need to be. To a man of his temperament and upbringing even a simple railway journey was crammed with petty annoyances and minor discords, and as he settled himself down in a secondclass compartment one September morning he was conscious of ruffled feelings and general mental discomposure. He had been staying at a country vicarage, the inmates of which had been certainly neither brutal nor bacchanalian, but their supervision of the domestic establishment had been of that lax order which invites disaster. The pony carriage that was to take him to the station had never been properly ordered, and when the moment for his departure drew near, the handyman who should have produced the required article was nowhere to be found. In this emergency Theodoric, to his mute but very intense disgust, found himself obliged to collaborate with the vicar’s daughter in the task of harnessing the pony, which necessitated groping about in an ill-lighted outbuilding called a stable, and smelling very like one--except in patches where it smelled of mice. As the train glided out of the station Theodoric’s nervous imagination accused himself of exhaling a weak odour of stable yard, and possibly of displaying a mouldy straw or two on his unusually well-brushed garments. Fortunately the only other occupation of the compartment, a lady of about the same age as himself, seemed inclined for slumber rather than scrutiny; the train was not due to stop till the terminus was reached, in about an hour’s time, and the carriage was of the old-fashioned sort that held no communication with a corridor, therefore no further travelling companions were likely to intrude on Theodoric’s semiprivacy. And yet the train had scarcely attained its normal speed before he became reluctantly but vividly aware that he was not alone with the slumbering lady; he was not even alone in his own clothes. A warm, creeping movement over his flesh betrayed the unwelcome and highly resented presence, unseen but poignant, of a strayed mouse, that had evidently dashed into its present retreat during the episode of the pony harnessing. Furtive stamps and shakes and wildly directed pinches failed to dislodge the intruder, whose motto, indeed, seemed to be Excelsior; and the lawful occupant of the clothes lay back against the cushions and endeavoured rapidly to evolve some means for putting an end to the dual ownership. Theodoric was goaded into the most audacious undertaking of his life. Crimsoning to the hue of a beetroot and keeping an agonised watch on his slumbering fellow traveller, he swiftly and noiselessly secured the ends of his railway rug to the racks on either side of the carriage, so that a substantial curtain hung athwart the compartment. In the narrow dressing room that he had thus improvised he proceeded with violent haste to extricate himself partially and the mouse entirely from the surrounding casings of tweed and half-wool. As the unravelled mouse gave a wild leap to the floor, the rug, slipping its fastening at either end, also came down with a heart-curdling flop, and almost simultaneously the awakened sleeper opened her eyes. With a movement almost quicker than the mouse’s, Theodoric pounced on the rug and hauled its ample folds chin-high over his dismantled person as he collapsed into the farther corner of the carriage. The blood raced and beat in the veins of his neck and forehead, while he waited dumbly for the communication cord to be pulled. The lady, however, contented herself with a silent stare at her strangely muffled companion. How much had she seen, Theodoric queried to himself; and in any case what on earth must she think of his present posture Theoforic did all the following to get the mouse out of his clothes EXCEPT ______.
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