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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 最可能的诊断是
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Today, we have the longest peacetime expansion in our history. After years and years of deficits, we now have budget surpluses for years ahead. More people have a chance to realize the American Dream than ever before. More children have a chance to realize their full potential than ever before. We’ve laid a foundation to preserve our prosperity for future generations. Now, as the budget deadline rapidly approaches this year, we face many of the same tough choices again. And once again, I think the answer is clear: To build a strong nation in the new century, we must continue to invest in our future. That means we must strengthen social security, secure and modernize medicare, and pay off the national debt in fifteen years, making America debt-free for the first time since 1835. And once again, it means we must invest in education, not sacrifice it. Months ago, I sent Congress a responsible budget to maintain our fiscal discipline and honor our commitment to our Children’s education. So far the Republicans in Congress haven’t put forth a budget of their own. In fact, they’re so busy trying to figure Out how to pay for their irresponsible tax plan that they’re in serious danger of not meeting their obligation to finish the budget by the end of the budget year. Even worse, they’re preparing to pay for their own pet projects at the expense of our children’s education. We know now that the Republicans’ risky tax cut would force us to slash vital funding for education by as much as 50 percent over the next ten years. But what many people don’t know is that next year alone, the Republican plan would cut the bill that funds education by nearly 20 percent. Now, ff carried out, this plan would lead to some of the worst cuts in education in our history. More than 5,000 teachers could be laid off. Fifty thousand students could be turned away from after-school and summer-school programs. More than 2 million of our poorest students in our poorest communities would have a smaller chance of success in school and in the workplaces of the future. These aren’t just numbers on a balance sheet; they’re vital investments in our children and our future. In a time when education is our top priority, Republicans in Congress are making it their lowest priority. So let me be clear: ff the Republicans send me a bill that doesn’t live up to our national commitment to education, I won’t hesitate to veto it. If it undermines our efforts to hire high-quality teachers to reduce class size in our public schools, I will veto it. If it fails to strengthen after-school, and summer-school programs, I’ll veto it. If it underfunds college scholarship programs, I will veto it. If it sends me a bill that turns its back on our children and their future, I’ll send them back to the drawing board. I won’t let Congress push through a budget that’s paid for at the expense of our children and our future prosperity. By using words such as irresponsible, risky, and pet projects, the speaker is obviously ______.
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