初产妇,24岁。妊娠39周,规律宫缩 9小时入院,查:骼棘间径24cm,坐骨结

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问题:

初产妇,24岁。妊娠39周,规律宫缩 9小时入院,查:骼棘间径24cm,坐骨结节间径7.5cm,枕左前位,胎心140/min。肛查宫口开大4cm,S=0。2小时后产妇呼叫腹痛难忍,检查宫缩1分钟一次,持续 40秒,宫缩时胎心116/min,子宫下段压痛明显, * * 检查宫口开大5cm,先露胎头。

此时产程受阻的原因是

A.骨盆入口狭窄

B.骨盆出口狭窄

C.中骨盆狭窄

D.扁平骨盆

E.漏斗骨盆

考点:临床执业助理医师临床执业助理医师16
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多能造血干细胞可分化为两大谱系的细胞,即()和()。

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下列不属于原核生物界的是 ()

A.螺旋体

B.放线菌

C.立克次体

D.支原体

E.真菌

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What are the challenges facing multinationals that want to build their brands in China —I think the first thing is ignorance. There’s a huge (1) of the complexity in China, which is more complex than Europe. There are different rules of law, which (2) a significant factor. There are different (3) , Cantonese and Mandarin and lots of others in (4) , and dialects like Sichuan versions. You have problems of distribution. (5) Chinese brands have been (6) local because of the size of the market and the transportation system, What’s (7) built up there is a sort of a pride in localness.
How can companies build their brands in China —China is a place where (8) have to be very patient and you’ve got to build (9) time. You can’t go in (10) invest short-term and then pull out (11) then try to get back in (12) . It’s about being consistent, steady, building (13) reputation, building confidence and then rewards will (14) . It’s a consistent ability to anticipate need. It’s insightfulness that helps brands to (15) ahead.
How are local Chinese brands doing against the multinationals —China’s been built (16) local brands and there are a billion of them and they are (17) spending sums of money locally that really dominate the (18) . But the future is Chinese brands moving outside of (19) and marketing globally, because China’s got to move from a commodity economy to a (20) sophisticated economy, which fundamentally (21) brands. There isn’t a major economy in the world that (22) based upon producing great brands, because they provide far better margins and more sustainable (23) .
Has Asia produced any truly global brands —Japan has. Some of the major companies (24) do really very well with brands. In Korea, some of them (25) but some of them need to catch up in terms of understanding how to really build global brands.

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所谓“包运租船”,是指承运人提供给______一定的吨位,在确定的港口之间,以事先约定的年数、航次周期和每航次较均等的货运量,完成运输合同______的方式。

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计量标准考核的后续蓝管包括计量标准器或主要配套设备的()。

A.更换

B.撤销

C.暂停使用

D.恢复使用

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