病历摘要:患者女性,65岁,退休工人,突然发生意识不清3小时而就诊。2年前出现头痛、头晕、健忘等症状,血压150/95mmHg,服用降压药后自觉上述症状缓解,但未进行系统治疗。患者于3小时前因家庭琐事与家人进行争吵,情绪激动时突然出现剧烈头痛,继而很快昏迷,曾伴呕吐1次,呈喷射性,吐出胃内容物,无大小便失禁、抽搐和牙关紧闭等。
既往有高血压病史2年,未进行系统治疗,既往无类似病史。无冠心病、糖尿病、肝肾疾病等病史,无药物过敏史。无烟酒嗜好。家族史中父亲有高血压病史。
查体:T36℃,P80次/分,R20次/分,BP160/100mmHg。昏迷,双眼向右侧凝视,瞳孔等大等圆,对光反射灵敏。颈软无抵抗,肺(-),心界叩诊不大,心率80次/分,律齐,未闻及杂音,腹软,肝脾肋下未及。左侧上下肢瘫痪,左侧Babinski征(+)。
实验室检查:Hb124g/L,WBC6.8×109/L,N0.68,L0.32,PLT260×109/L。
Disposing (处理) of waste has been a problem since humans started producing it. As more and more people choose to live close together in cities, the waste-disposal problem becomes increasingly difficult.
During the eighteenth century, it was usual for several neighboring towns to get together to select a faraway spot as a dump site. Residents or trash haulers (垃圾托运经营者) would transport household rubbish, rotted wood, and old possessions to the site. Periodically (定期的) some of the trash was burned and the rest was buried. The unpleasant sights and smells caused no problem because nobody lived close by.
Factories, mills, and other industrial sites also had waste to be disposed of. Those located on rivers often just dumped the unwanted remains into the water. Others built huge burners with chimneys to deal with the problem.
Several facts make these choices unacceptable to modem society. The first problem is space. Dumps, which are now called landfills, are most
A. burying it
B. recycling it
C. burning it
D. throwing it into rivers
Are you a man or a mouse When people ask this question they want to know (1) you think you are a (2) person or a coward. But you will never really know the answer to this question (3) you are tested in real life. Some people (4) they are brave but when they come face to face with real (5) , they act like cowards. Others think of themselves as cowards, but when they meet danger, they act like (6) .Lenny had always thought of himself as a (7) person. He got worried before examinations. He worried about his job and health. All he wanted in life was to be safe and healthy. (8) , on January 15th, 2002, a plane crashed into the Potomac River in Washington. Lenny went to the river to See what was happening. He saw a woman in the (9) water. Lenny did not feel afraid. He kept very (10) and did a very dangerous thing. He jumped into the Potomac, (11) to the woman, and kept her head (12) the water. Seventy-eight people died that day. Thanks to Lenny, it was not (13) .When you are in a very
A. in
B. under
C. above
D. from
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