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根据下列材料,回答下面的题目 Rhythm and blues,or R&B,is a 26 0f music that came out of the jazz,blues and gospel music that was bein9 27 by African Americans 28 the l930s and l940s.Over the years, the term has commonly been used to describe 29 popular music this community was played at the time.This more upbeat,exciting type of music caught on 30 a big way,and for the first time,African Americans 31 their own style of commercial music. In the late l930s,many big bands broke up 32 smaller units and formed“jump blues”bands 33 played loud music with a strong dance beat,quickly 34 popular in the dance halls at the time. Earlv R&B 35 were those of Count Basie,Louis Jordan and Lionel Hampton.Basie had a hit in l937 with One 0’clock Jump. 36 Jordan had a string of hits from the late l930s through the l940s.By the mid l940s,R.M.Blues by Roy Milton and The Honeydripper by Joe Liggin each 37 0ne million copies. ‘ The new music style 38 to evolve and was gaining 39 rapidly.In Annapolis,more than 50,000 people 40 up to a concert with seating for 8,000.There was a traffic 4l for seven hours. Rhythm and blues has come a long way 42 American African musicians of the mid 20th century developed their own style of 43 music based on some more conservative styrles at the time.R&B had huge success in the l950s and l960s before making an even 44 comeback as contemporaryR&B 45 the l980s on.

A. have
B. having
C. had
D. have had

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患者纳少,腹胀,脘痛绵绵,喜温喜按,大便稀溏,口淡不渴,舌淡胖,苔白滑,脉沉迟无力,其临床意义是()。

A. 脾气虚证
B. 脾不统血证
C. 寒滞胃肠证
D. 脾阳虚证
E. 脾虚气陷证

POP-Q分类法

膀胱膨出(cystocele)

案例摘要:患者,女性,46岁。8年来劳累后心慌气短。既往曾患过“风湿性关节炎”。近日因劳累病情加重,心慌,气喘,咯血,不能平卧而急诊入院。查体:半卧位,慢性重病容。脉搏80次/分,血压13.3/9.33kPa(100/70mmHg)。心向左侧扩大,心律完全不齐,心率120次/分,心尖区舒张期雷鸣样杂音,主动脉瓣区收缩期和舒张期杂音。肝肋下3cm,下肢轻度浮肿。诊断:风湿性心脏病,二尖瓣狭窄,主动脉瓣狭窄及关闭不全,心房纤颤,心功能不全Ⅱ度。该病人在用强心药治疗的过程中,心率突然减为50次/分,此时应选用下述何种药物治疗()

A. 异丙肾上腺素
B. 去甲肾上腺素
C. 肾上腺素
D. 间羟胺
E. 多巴胺

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