患者女性,80岁,反复胸闷、黑矇3年余入院。查体:BP 130/64mmHg,P 4

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问题:

患者女性,80岁,反复胸闷、黑矇3年余入院。查体:BP 130/64mmHg,P 48次/分,R 20次/分,双肺呼吸音清,心脏听诊未闻及病理性杂音,双下肢无水肿。诊断为病态窦房结综合征,行永久起搏器置入术,置入右侧胸腔,术后心电图示起搏心律,心率60次/分。术后第3天,患者自行起床活动右手后出现胸闷、黑矇,心率50次/分。首先考虑诊断

A.起搏器电池耗竭
B.电极移位或导线断裂
C.阈值升高
D.起搏器综合征
E.慢性心脏穿孔

考点:卫生资格考试(中初级)重症医学专业知识重症医学专业知识
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Young girls at high risk for depression appear to have a malfunctioning reward system in their brains, a new study suggests. The finding comes from research that (1) a high-risk group of 13 girls, aged 10 to 14, who were not depressed but had mothers who (2) recurrent depression and a low-risk group of 13 girls with no (3) or family history of depression. Both groups were given MRI brain (4) while completing a task that could (5) either reward or punishment.

(6) with girls in the low-risk group, those in the high-risk group had (7) neural responses during both anticipation and receipt of the reward. (8) , the high-risk girls showed no (9) in an area of the brain called the dorsal anterior cingulated cortex (背侧前扣带皮质), believed to play a role in (10) past experiences to assist learning.

The high-risk girls did have greater activation of this brain area (11) receiving punishment, compared with the other girls. The researchers said that this suggests that high-risk girls have easier time (12) information about loss and punishment than information about reward and pleasure.

"Considered together with reduced activation in the striatal (纹状体的) areas commonly observed (13) reward, it seems that the reward-processing system is critically (14) in daughters who are at elevated risk for depression, (15) they have not yet experienced a depressive (16) ," wrote Ian H. Gotlib, of Stanford University, and his colleagues. " (17) , longitudinal studies are needed to determine whether the anomalous activations (18) in this study during the processing of (19) and losses are associated with the (20) onset of depression," they concluded. The study was published in the April of the Archives of General Psychiatry.

9()

A.movement

B.sign

C.symbol

D.activation

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锅炉具有爆炸性,锅炉在使用中发生破裂,使内部压力瞬时()外界大气压的现象叫爆炸,

A.降至小于

B.降至等于

C.升至大于

D.升至等于

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芽孢萌发的第一特性为丧失抗性、(),并增加可染性。

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可摘局部义齿修复不适用于

A.双侧游离缺失
B.缺牙间隙小
C.单侧游离缺失
D.拔牙创未愈合
E.前牙缺失

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人们常说的“三山五岳”分别指的是?

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