绵阳二诊范文(8篇)

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绵阳二诊范文1

二、完形填空(共20小题;每题分,满分30分)

请阅读下面两篇短文,掌握大意,然后从16~35各题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该选项的标号涂黑。

I can still remember every change of intonation whenever I recall what that old lady said to me, “Life may give me up, but I’ll never give up my life.”

She was admitted to hospital because of her stroke(中风)for the second time, which also meant that I need to spend a lot of 16 with her.

Honestly, she was a good patient, with no complaint, no 17 requirements, and she always cooperated with me very well, which I 18 very much. And she always held an optimistic point of view toward her condition, 19 I guessed she knew that there wouldn’t be much improvement. I actually asked why in a 20 way, and she said to me the very sentence. It was not spoken very clearly, since her stroke had 21 the movement of her tongue. I was not moved then, since after spending a few months in this hospital, I was almost 22 .

And that old lady had 23 stroke a few days later, which made her unable to speak or move anymore. I thought she would be 24 as others, lying there, waiting the day, and crying sometimes. But I was wrong. She still held that someday, somehow, she would fully 25 , though both she and I knew the possibility for that was extremely small.

Then, the very sentence she said 26 to me. A patient with absolute no hope still held the optimistic aspect in her life, regardless how 27 it was. How could I lead my life in that way? Since then, I’ve tried harder and worked harder. I would not give up my life either.

16. A. chance B. time C. life D. money

17. A. practical B. unreasonable C. acceptable D. meaningful

18. A. enjoyed B. suffered C. appreciated D. congratulated

19. A. so B. as C. since D. though

20. A. brave B. daring C. secret D. cautious

21. A. affected B. disturbed C. improved D. increased

22. A. indifferent B. frightened C. concerned D. anxious

23. A. other B. another C. few D. little

24. A. silently B. painfully C. exactly D. patiently

25. A. operate B. succeed C. understand D. recover

26. A. lived up B. looked forward C. made sense D. worked out

27. A. expected B. negative C. strange D. unlikely

Black Friday, the day after Thanksgiving Day, is a busy shopping day in the United States. Many people have a day off work on that day. Some use this to make trips; others use it to start 28 for the Christmas season.

Many stores have special offers and 29 their prices on some goods. Some 30 their opening hours. There can also be traffic jams on roads to 31 shopping destinations.

There are 32 common theories as to why it is called Black Friday. One is that the wheels of vehicles in heavy traffic on the day left many black markings on the road surface, 33 the term Black Friday. The other is from an old way of recording business accounts. 34 were recorded in red ink and profits in black. Many businesses, 35 small businesses, started making profits before Christmas, so they started to mark in black ink on the day after Thanksgiving.

28. A. traveling B. shopping C. visiting D. cooking

29. A. prepare B. check C. lower D. raise

30. A. shorten B. enlarge C. reduce D. extend

31. A. popular B. outstanding C. splendid D. ordinary

32. A. many B. two C. few D. no

33. A. leaving for B. leading to C. coming out D. sticking to

34. A. Prices B. Interests C. Losses D. Benefits

35. A. particularly B. specially C. obviously D. eventually

三、阅读理解(共20小题;每小题2分,满分40分)

请阅读下列短文,从每题所给的四个选项(A、B、C和D)中,选出最佳选项,并在答题卡上将该选项的标号涂黑。

A US student has just spent 30 days on an “insect diet ” – eating insects three times a day. Camren Brantley-Rios says traditional meats such as pork and beef are unable to continue and he wanted to try out what many consider the diet of the future.

Many people would not like the idea of eating insects distasteful, even if it were not disgusting. Not so long ago Brantley-Rios was among them. But for the last month he has been eating insects for breakfast, lunch and dinner.

“I’m mainly sticking to three kinds,” he says.

Occasionally he has included different insects. Preparing these he “actually cried”, though he insists they were surprisingly good.

Insects consume fewer resources than animals, like pigs and cows, to produce the same amount of protein(蛋白质), Brantley-Rios says – and more than two billion people worldwide include insects in their regular diet, according to the UN Food and Agriculture Organization.

“There’s not really a need to eat insects in America because we have it so nice,” Brantley-Rios says. “We have finer meats and we’re lucky to have that luxury(奢侈), so there’s not much of a pressure to eat insects right now. But what a lot of people are trying to do is make it a little bit more marketable.”

He has ordered insects from farms that usually supply zoos, which need them “to feed certain animals”. He has always made sure the insects have been fed on an organic diet, he says, and only bought species he knows are safe to eat.

He knows that one person eating insects won’t make much difference. To have a real environmental effect, millions would have to follow his example.

36. Why has the US student tried out an “insect diet”?

A. To seek for future vegetables.

B. To advocate traditional meats.

C. To make up for the lack of meat.

D. To explore new forms of protein.

37. What can we learn about Brantley-Rios from Paragraph 2?

A. He is tired of meats like pork and beef.

B. He didn’t like the idea of eating insects.

C. He had nothing to eat but insects last month.

D. He advised people to eat insects though disgusted.

38. What does the underlined part “actually cried” in Paragraph 5 mean?

A. was scared B. was pitiful C. was sorry D. was puzzled

39. How does Brantley-Rios guarantee the safety of his insect diet?

A. He tests each species before eating it.

B. He has insects raised on his own farm.

C. He feeds his insects on an organic diet.

D. He orders insects for certain zoo animals.

It’s no secret that doing good makes others happy – but did you know it can make you happy as well?

According to a study, people participating in meaningful activities were happier and felt that their lives had more purpose than people who only engaged in pleasure-seeking behaviors.

Try giving these four things to others to start your journey to a happier and healthier lifestyle.

1. Your Time

With a busy life, it can be hard to find any time to give away. However, volunteering your time has great benefits, including making new friends and connections, learning new skills and even advancing your career.

According to a paper about the link between health and volunteering, volunteering is connected with lower instances of depression and reduces the risk of dying by 22 percent.

2. Your Attention

Most of us think we’re good listeners, but according to psychologist Paul Donoghue, most people are aware that others don’t listen as well as they could. In addition, they’re not fully aware that they themselves aren’t listening.

When practicing mindfulness meditation(正念禅修), you focus on what you experience in the moment and let your thoughts and emotions pass through without judgment. Did you know that giving someone your undivided attention helps you also? When done well, active listening strengthens your focus-which is a major part of good meditation.

3. Your Compassion

The psychological meaning of compassion is the ability to understand another person’s emotional state. Compassion differs from empathy(移情) in that those who experience compassion not only put themselves in another person’s shoes, but also want to reduce that person’s suffering.

A brain-imaging study showed that the brain’s pleasure centers are equally active when we give money to the poor as when we receive money ourselves.

4. Your Money

According to an experiment, those who spend money on other people are significantly happier than those who spend the same quantity of money on themselves.

Whether or not you can offer other gifts, donating money helps make real change happen. It represents time spent, compassion and careful attention to the needs of others.

40. Who is the happiest according to the study mentioned in Paragraph 2?

A. Bill, who is often invited to play golf by his wealthy uncle.

B. Tom, who is on the way to be the richest man in the world.

C. Mike, who is not well-off but often does what he can to those in need.

D. John, who is a disabled young man but has married a very beautiful girl.

41. What does the underlined word “depression” in Paragraph 5 mean?

A. pleasure B. unhappiness

C. connection D. misunderstanding

42. Which of the four gifts matters most according to the author?

A. Time. B. Money. C. Attention. D. Compassion.

43. What is the purpose of the passage?

A. To encourage people to help others.

B. To give the meaning of “happiness”.

C. To offer a practical way of life.

D. To show his kindness.

绵阳二诊范文2

第Ⅰ卷(选择题 共30分)

一、(12分,每小题3分)

1. C(A.芍药 sho 处变不惊chǔ B.横财hng D.横槊赋诗shu)

2. C(A.缘分 一笔勾销 B.文过饰非 D.陈词滥调)

3. A(B. 举足轻重指处于重要地位,一举一动都足以影响全局,可改为不可估量。C. 开小灶,指为别人提供或得到他人的超常的待遇。不能用于自己。D.进而,不能与由于相配合。)

(B.成分残缺,铲除土壤。 C.搭配不当,中国好声音与第二分句搭配不当。 D.杂糅,删掉造成的。)

二、(9分,每小题3分)

5. B(其物质属性决定了它具有可持续性、不可替代性和可延展性三个特点错误,原文无据。)

6. D(原文意在用台儿庄说明城市核心竞争力的不和替代性即人无我有。)

7. B(A.任何时候绝对。C.核心竞争力一定要有这三性。D.旅游业真正决定着一个城市的核心竞争力错,应是核心竞争力决定着旅游业。)

三、(9分,每小题3分)

(厉:磨砺,磨练)

(却,可是。A.于是/竟 B.把/因为 C.介词,和/一起 D.却,可是)

10. B(并无相约攻打南京)

第Ⅱ卷(共120分)

四、(25分)

11. (10分)

(1)(我)袒露左臂,一声高呼,响应的将士就会像山一样耸立,成功了是托君王的福,不成功也保全了我的节操。(6分,划线处每处1分,大意1分)

(2)只是因为忠诚的大义郁结,并深入内心,高山与深谷都能够改变,而至真至诚的心不可磨灭。(4分,划线处每处1分,大意1分)

12.(8分)(1)细雨 碧水 春燕衔泥(燕子) 修篁 新杏(4分,每个1分,对4个及满分)

(2)以乐景衬悲情,(2分)

绵阳二诊范文3

高考语文一诊模拟试题

第一部分(共39分)

一、(本大题共5小题,每小题3分,共15分)

1. 下列词语字形有误的一组是(   )

A. 给予  咸与维新  赔偿  浅尝辄止

B. 遨游  翱翔太空  消融  溶于一炉

C. 筹措  踌躇满志  嘉许  勇气可嘉

D. 处事  立身处世  枯燥  人心浮躁

2. 依次填入下列各句横线处的词语,最恰当的一组是(   )

①沈从文追求小说的诗意效果,融写实、记梦、象征于一体,_____出乡村人性特有的风韵和神采。

②李自健的巨幅历史画《南京大屠杀》以全球巡展的方式走向世界,用人性和爱________人心,感动世界。

③任何一个时代的审美情趣都与当时社会的政治、经济、文化背景有密切的关系,而影响它们的因素则是社会的________。

A. 凸现   震慑   变化

B. 突现   震撼   变化

C. 凸现   震撼   变迁

D. 突现   震慑   变迁

3. 下列选项中加点的词语使用恰当的一项是(   )

A. 在“风水班”开班之前,国内学界就爆发了一场关于风水到底是国粹还是迷信的争论,双方众说纷纭,莫衷一是。

B. 两次牢狱之苦未能改变李敖的个性和气质,他一直就是嬉笑怒骂又谈笑风生,风里来雨里去,火中取栗乐此不疲,这很难得。

C. 沈阳的大学生信誓旦旦地表示,到技校“回炉”是为了拿到一张比大专学历还有升值潜力的中级工职业资格证。

D. 美国科学家认为,如果全球变暖是造成飓风的始作俑者,那么世界其他风暴多发地带的飓风也应增加。

4. 下列各句中没有语病的一句是(   )

A. 8年来,王选面对的不只是一两个对手,而是强大的`日本右翼势力和一些麻木的日本民众;她承担的不只是一两个人的嘱托,而是那些满身历史伤口的人们对正义公道的追求。

B. 人难以活到110~185岁的自然寿命的原因,是由于呼吸方式、运动姿势、消化系统功能、循环功能和情绪的变化决定的。

C. 夜静人稀,漫步在天津独具浓郁异国风采的解放北路和五大道,你会不由自主地生出时光倒转、梦寻欧洲的恍惚之感。

D. 中国当前出现了庞大的弱势群体,不仅成为了引起社会矛盾和社会问题的关键性因素,而且引起了全社会的普遍关注。

5. 下列选项中标点符号使用有错误的一项是(   )

A. 为了生活更好,农民是应该进入城市,还是应该留在土地上?前,山东南张楼村在德国基金的帮助下开始进行《巴伐利亚试验》。

B. 余世存的《非常道――1840~的中国话语》被书评家评为“历史入门的索引”、“新版《世说新语》”,被哥伦比亚大学的政治学博士嘉许为“抵十年的人文教育和公民教育”。

C. 在中国的条件下,传统增长模式是与行政计划体制相联系的;而新增长模式(新型工业化道路),则需要以现代市场经济体制作为制度基础。

D. 作为画家的鲁斯文没有忘记生命中的基因不时提醒:保护自然资源和保护野生动物――这两项他生命中的最爱。

二、(本大题共4小题,每小题3分,共12分)

阅读下面的文字,完成6~9题。

某些情形下,生活会对我们转过背去:你听不到它的欢声笑语,也看不到它的花开花落。当这种情形变得漫长、严酷,你感受到的会是深度溺水般的痛苦。那种绝望、疼痛和恐惧覆盖每一个毛孔。抑郁症正是这样一种可怕的情形。我国有数据表明:大约1/10的人都在不同程度上受抑郁症的折磨;每年有20多万人以自杀的方式结束生命,其中80%患有抑郁症。

抑郁症是一类严重危害人类身心健康的常见精神障碍疾病,主要症状包括失眠、心烦、反应迟钝、易怒、易激动、处事不冷静、忧郁、持久疲劳。近年来,随着生活节奏的加快、社会变化的加剧、竞争的日益激烈、心理压力的加大,抑郁问题变得越来越普遍,渐成“新城市病”。世界卫生组织、世界银行和哈佛大学的一项联合研究表明,抑郁障碍已经成为中国疾病负担的第二大疾病。

专家认为,抑郁症的病因错综复杂,但都与遗传、生化、心理―社会因素有关。经研究发现,患者病前性格多表现为缺乏自信和自尊,对他人过分依赖或对自我要求过高,心理承受能力差,思考问题过于细致,常因小事陷入忧愁、苦闷状态。如再遇到家庭不和、工作困难、事业受挫、人际关系紧张等种种来自社会方面因素,则更容易促发抑郁症。

此外,抑郁症的诱因也比较复杂,包括:1. 心理―社会因素。生活中的重大事件突然发生,或小的麻烦长期持续存在,引起不愉快的情感体验。2. 遗传因素。遗传流行病学调查显示,血缘关系愈近,患病概率越高。3、睡眠。长期失眠、睡眠不规律等症状会导致生物节律的变化,可使脑神经递质发生改变,进而出现情绪方面的障碍。此外,诱因加上易感性促使抑郁症的发病,特征如下:女人比男人易发;35~45岁是发病高峰期;在社会的最高层和最低层中常见;发病率轻度明显多于重度。

中国抑郁症现状堪忧。中国的抑郁症患者已经超过2 600万,在社会上的各个群体中几乎都有“抑郁症”的影子:儿童抑郁症、白领抑郁症、老年抑郁症和产后抑郁症等。儿童抑郁症患者主要是6至12岁的孩子,由于身心发育尚未成熟,往往比成人更容易出现抑郁等情绪障碍。这与家长的过高期望、父母的教育方式和父母的婚姻状况有很大的关系。白领人群是抑郁症的高发人群,他们承受过多压力,尤其是心理压力更大。老年抑郁症是老年期常见的一种精神疾病,由于生理、心理的变化,老年人对生活的适应能力减弱,任何应激状态都容易引起抑郁等心理障碍。产后抑郁,发病率为10%~15%左右,常发生在产后数月之内,大部分产后一年可以自愈。

要趟过忧郁那条河,需要了解必要的对策。如注意睡眠;加强日照和光照;坚持做有氧运动,有规律地进行有氧运动是一剂十分有效的抵御成年人抑郁症的良药;建立可靠的人际关系等。当发生什么不利事件时,有一个可以完全信赖的人倾诉;不要怕被人歧视而在心理咨询室外徘徊。必要的时候需要有专业的心理咨询师帮助你解决问题。此外,社会应给予抑郁症患者一个鼓励、支持、宽松愉快的环境,帮助其改善人际关系,增加社会交往。来自家人、朋友、同事的精神支持,特别是家人、亲友之间的关心、尊重,将有助于病程的康复。

(选自王颖  于常晶《新城市病――抑郁症》,有改动)

6. 根据文意,下列对“抑郁症”的理解表述不正确的一项是(   )

A. 抑郁症是一种精神备受痛苦、绝望、疼痛和恐惧折磨的可怕病症。

B. 抑郁症的病因与遗传、生化、心理―社会因素密切相关,但性格和社会因素是主因。

C. 我国的抑郁症患者众多,社会各个群体身上都有“抑郁症”的影子。

D. 抑郁症患者表现为“四多”:女人多,中年人多,最高层和最低层人士多,轻度病症多。

绵阳二诊范文4

“珍惜”是当代热点词汇之一,许多人谈起这个词语也许会说:“珍惜,顾名思意,不就是珍惜,重视的意思喽,这有什么难的。”是啊,知道这个词语的意思,确实没什么难的,但是真正做到的又有几个人呢? 以前不懂事时总是不珍惜,不重视别人的劳动成果,总是以自我为中心,觉得自己好就行,但那件事后,我明白了珍惜的含义。

那是一个和风绚丽的一天,学校组织全体学生去_纪念馆广场,在还未到目的地及还未举行送花环仪式时我还只是漠不关心,并且与我的同学们有说有笑,丝毫不在意这次活动,在路上老师也给我们说明了这次活动的重要性以及纪律,但我嗤之以鼻,并且并不在意。

到了现场之后,我看到那里有军人,有各个领导,还有老师们及观赏群众,这是我不由得有些紧张,送花环及哀悼彭总司令及牺牲的英雄时不由得气氛有些凝重而在做完这一系列活动之后,有一位女军人上台了,她讲述着那个时候的历史:“_总司令在这里只停留了三天就继续与敌人战斗了……”

那位英姿飒爽的女军官诉说着老一辈的故事,说着我们的英雄梦伟大事迹并且教导我们要珍惜今 天的生活,因为它是来之不易的,是我们的先祖们用命换来的。从此,珍惜这个念头就在我心里溢散开来。

以前的我也许不懂事,但现在的我懂得了何为珍惜。

作为父母最爱的儿女们,我们要珍惜与父母的亲情及他们对我们的付出;作为学生,我们要珍惜与老师相处的时间和老师对我们的期望;作为自己,我们要珍惜与同学朋友的友情;作为农民子女,我们要珍惜粮食;作为一个人,我们要珍惜别人的劳动成果;作为中国人,我们要珍惜现在的美好生活及能毫无顾虑地安心读书。

就像那位女军官说的一样,如今的安逸生活是我们的先辈用命换来的,现在我们每天生活得这么好,他们应该也会非常高兴的,但如果我们不珍惜这来之不易的生活,先祖们在天上看着也许会也许会很难过吧。

其次,作为一个初三将要毕业的学生,我觉得珍惜时间也是重要的,十年磨一剑,成败在此一举。在仅有的20几天时间里,更希望同学们要更好珍惜初三生活,好好学习,让我们一起珍惜吧。

绵阳二诊范文5

附评分原则及要求

五﹑写作(共两个写作任务,满分35分)

写作一(满分15分)

一、评分原则

1.归档原则:本题满分15分,基于与材料的结合程度,根据语言质量分为4个档次。词数少于60,下调一个档次。

2.总体要求:内容切题﹑观点明确; 逻辑清晰﹑行文连贯;语法正确﹑词汇丰富。

3. 英美拼写及词汇用法均可接受。

二、各档次给分范围和要求

第四档(12分~15分)很好地达到总体要求。

● 有效结合材料,观点明确;

● 内容连贯,条理清晰;

● 语言运用得体,词汇丰富,几乎没有语言错误。

第三档(8分~11分)基本达到总体要求。

● 有效结合材料,观点基本明确;

● 内容基本连贯,有一定的条理性;

● 语言基本运用得体,有少量错误,但能表达观点。

第二档(4分~7分)未能达到总体要求。

● 未有效结合材料;

● 内容松散,条理性差;

● 语言运用较差,错误较多,但基本能表达观点。

第一档(1分~3分)未达到总体要求。

● 未结合材料;

● 内容松散,缺乏条理性;

● 语言运用差,错误很多,严重影响观点表达。

0分:内容与材料无关,未传达任何信息;所写内容无法看清等。

(注意:评分时,学生的观点无对错之分,只要言之成理,均不影响得分。)

写作二(共20分)

一、评分原则

1.归档原则: 本题满分20分,根据短文覆盖内容要点的情况及语言质量分为5个档次。词数少于80,下调一个档次。

2.总体要求:内容完整﹑覆盖要点;行文连贯;语法正确﹑词汇丰富。

3.英美拼写及词汇用法均可接受。

二、内容要点

1.如何在高三剩余的学习时间内努力学习;

2.用积极的心态面对高三的紧张学习生活;

3.在紧张的学习生活之余,要注意锻炼身体,劳逸结合;

4.根据实际,自由发挥。

三、各档次给分范围和要求

第五档(17分~20分)很好地达到总体要求。

● 覆盖了内容所有要点;

● 语言运用得体,词汇丰富,几乎没有语言错误;

● 有效地使用了语句间的连接成分,文章结构紧凑。

第四档(13分~16分)很好地达到总体要求。

● 虽漏掉个别次重点,但覆盖了所有主要内容;

● 语言运用较为得体,词汇与语法有少许错误;

● 有必要的语句间的连接成分,文章结构较紧凑。

第三档(9分~12分)基本达到总体要求。

● 虽漏掉个别内容要点,但覆盖了大部分主要内容;

● 语言运用较为得体,词汇与语法有一些错误,但不影响理解;

● 能够使用简单的语句间的连接成分。

第二档(5分~8分)未达到总体要求。

● 虽漏或未描述清楚一些主要内容;

● 语法结构单调,词汇贫乏,语言错误较多,影响理解;

● 文章缺少连贯性。

第一档(1分~4分)未达到总体要求。

● 明显漏掉主要内容,写了一些无关内容;

● 语言错误很多,严重影响理解;

● 文章不连贯。

欢迎访问“高中试卷网”——

绵阳二诊范文6

四、写作(共两个写作任务,满分35分)

写作一(满分15分)

请结合材料,按要求用英文写作,词数不少于60。

Some parents tend to look into their children’s school bags, diaries and even their chat records, which is very common in their daily life.

要求:

(1) 就此材料发表你的看法;

(2) 紧扣材料,有明确的观点;

(3) 词数不少于60;

(4) 在答题卡上作答。

写作二(满分20分)

假如你是高三学生李华,和表妹王芳即将参加高考。请你结合自己的情况,用英语给表妹写一封建议信,建议她利用好高考前50天,考出好成绩。内容包括:

● 认真学习

● 调适心态

● 适度锻炼

● 其他方面

注意:

(1)词数不少于80;

(2)请在答题卡上作答;

(3)开头和结尾已为你写好(不计入总词数)。

Dear Wang Fang,

How are you lately?________________________________________________________

____________________________________________________________________________

Yours,

Li Hua

高20_级学生学业调研抽测(第二次)

英 语 参 考 答 案

一、单项填空(共15小题;每小题1分,满分15分)

1—5 DABCD 6—10 BBACD 11—15 DCADB

二、完形填空(共20小题;每题分,满分30分)

16—20 BBCDD 21—25 AABCD 26—30 CDBCD 31—35 ABBCA

三、阅读理解(共20小题;每小题2分,满分40分)

36—40 DBADC 41—45 BBACC 46—50 ADABC 51—55 DDCAB

四、写作(共两个写作任务,满分35分)

写作一(满分15分)

As we know, some parents often look into their children’s school bags, diaries and even chat-on-line records. I fully understand what they are concerned about. They are actually worried about that the kids may get into some trouble. On the other hand, the parents have probably learned some horrible stories about other teenagers from their personal records.

However, I don’t think it is a proper way to do so because the kids not only need respect but also are expected to be respected. A good relation is based on respecting and trusting each other

写作二(满分20分)

Dear Wang Fang,

How are you recently?

I am writing to give you some suggestions on study and life. For Senior 3 students, time is precious. It is high time we took effective measures to live our life to the fullest.

First of all, I highly propose we make the most of the time in class, following our teachers. Besides, we tend to get anxious with time going by. Take it easy. More importantly, just as an old saying goes, Health is wealth. That is why we have to spend some time exercising regularly. Tired as we are, we are lucky and happy with so many teachers, friends, and our parents standing behind us. We may refer to them for timely help whenever we need it.

Do you like my advice? I do hope we will succeed in the entrance examination and be admitted to our ideal universities. Best wishes!

Yours,

Li Hua

绵阳二诊范文7

-一诊语文模拟试题复习题

20_-度一诊模拟试题

高届 语 文 (20_﹒12)

第Ⅰ卷(单项选择题 共27分)

一、(12分,每小题3分)

1.下列词语中,字形和加点的字的读音全都正确的一项是

A.藤蔓(wàn) 弦外之音(xuán) 肇事 百尺竿头,更近一步

B.玩弄(lòng) 童山濯濯(zhuó) 恶梦 城门失火,殃及池鱼

C.债券(juàn) 毁家纾难(shū) 报歉 盛名之下,其实难副

D.咋舌(zé) 扺掌而谈(zhǐ) 纪要 出其不意,攻其无备

2. 依次填入下列各句横线处的词语,最恰当的一组是

(2)三十几年过去了,我们心中依然珍藏着那段美好的回忆, 我们己经远离了那段激情燃烧的岁月。

绵阳二诊范文8

一诊败走华容道,二诊麻黄建奇功

邢某某?? 女??? 6岁?? 初诊:-5-25 17:00

2天前偶有咳嗽,今午后发热°C,现°C,咳嗽,咽中有痰,口中和,不苦,头昏,无头痛,腹中和,无咽痛,微汗出,无干呕,无鼻塞流涕喷嚏,大便日一次,成形,舌淡红,薄白苔。

双扁桃体2度肿大。双肺呼吸音清。

诊断:太阳少阳合病

处方:柴胡桂枝汤加味

柴胡15g ?黄芩5g ?半夏5g ?党参10g

炙甘草5g 桂枝10g 白芍10g 桔梗10g

苍术5g??? 生姜3片???大枣4枚

共E剂? 用法:一天两次?水煎两次,合并煎液,分四次服,间隔两小时服药一次,服药后温覆取汗,1剂/日。

二诊(26/5? 16:50):昨晚9点°C,今早°C,午后°C,已服美林,现°C,现微汗出,无恶风恶寒,鼻塞流涕,高烧时无汗,咳嗽,无咽痛,喉间有痰,口中和,大便一次。舌淡红嫩,白苔根稍厚腻,脉数。

双肺呼吸音清,咽后壁无明显红肿,扁桃体2度肿大,鼻腔湿润。

诊断:太阳太阴合病

处方:麻黄汤加桔梗苍术生姜

麻黄10g 桂枝10g 杏仁10g 炙甘草5g

苍术5g ?桔梗10g ?自备生姜5片

共E剂? ?用法:一天三次? 水煎两次,合并煎液,分四次服,间隔两小时一次,服药后温覆取汗,1剂/日。

三诊(28/5 08:20):昨下午°C,现(上午)°C。咳嗽,喉间痰鸣明显,鼻塞流涕缓解,汗出无恶风(短袖短裤),大便成形日一次,舌略红,薄白苔。

诊断:太阳太阴合病

处方:射干麻黄汤加味

射干8g ? ?麻黄3g ?半夏5g??款冬花8g

紫菀8g?细辛2g?五味子5g ?桔梗10g

炙甘草5g 杏仁5g 大枣15g?生姜3片

枇杷叶5g

共叁剂? 用法:一天两次?水煎两次,合并煎液,分早中晚三次饭后温服,1剂/日。

按语:本案一诊值得反思,但我想重点分析下第二诊,第二诊时微微汗出,无恶风恶寒,但发热时无汗出,鼻塞流涕,汗出热稍退,六经辨证为太阳病;无口干渴,无口苦,无咽痛,无干呕等,根据《伤寒论》第4条、5条,可以排除少阳阳明病;咳嗽有痰,白苔根腻稍厚,考虑太阴里虚夹饮,故六经辨证为太阳太阴合病。难就难在辨方证上,就诊时微微汗出,像是太阳表虚桂枝汤方证,但考虑到鼻塞流涕,高烧时无汗,认为太阳表实为主,故予麻黄汤,加苍术健胃化饮,此处苍术不可大量,否则变成麻黄加术汤之小汗方,更加生姜辛温发汗,桔梗利咽止咳,服药后表闭得解,汗出热退。三诊体温下降,但喉间痰鸣明显,故予射干麻黄汤加减而愈。

心路:本患者为我院职工小孩,一诊后高烧不退,二诊至关重要,“成败在此一战“,因为门诊中药退烧,患者最多给你两次机会,第二次退不下来,都输液去了。第二诊时,虽然患儿微微汗出,但是考虑到冯老教诲“鼻塞者,非麻黄不能解其表”,故大胆选用麻黄汤,这也是我第一次运用麻黄汤,当时特别慎重,再三叮嘱,汗出热退,停服,不必尽剂!注意午后高烧,不可认为是阳明病,必须要结一诊败走华容道,二诊麻黄建奇功合相关条文,全面分析,综合考虑!

一诊固然重要,但二诊是反败为胜的关键! 感谢患者家属的信任!

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