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最新牛津译林版六年级英语下册第四单元(下)

六年级英语下册第四单元练习

一，短语互译

1、道路安全

2、穿过马路

3、在人行道上等

4、小心汽车

5、乘公交车

6、see you easily

7、talk loudly8、get on

9、a busy road10、to keep safe

二、选择填空

（）1、How can you cross the road ? A. safe B. safety C. safely

（）2、you must a zebra crossing. A. look at B. look for C. look out of

（）3、The students are waiting the pavement A. on B. in C. behind

（）4、The child go to school Saturday and Sunday .

A. and

B. between

C. except

（）5、Must I go to see the doctor? No, you . You can have a rest.

A. must

B. needn’t

C. mustn’t

（）6、There are three bedrooms on floor. A. the first B. one C. first

（）7、There any milk in the fridge. A. isn’t B. aren’t C. are

（）8、——Can I help you ? ——

A. Yes, you can.

B. I’d like some fruit.

C. No, thanks.

（）9、Can you show the way to Zhongshan road?

A. I

B. we

C. me

（）10、There is English book on the desk. A. a B. an C. some

三、选词填空

1、Some dogs (crossing\ are crossing)the busy road.

2、You must keep yourself (safe\ safety).

3、It’s late. We (must\ can) run quickly.

4、Dad uses it to clean the window （easy、easily）.

5、There isn’t any（bread\ cakes）on the table.

四、根据中文提示完成句子

1、在马路上你禁止做什么？What you on the road?

2、你必须首先看左边，接着右边，然后再左边。

You must first look , then and then left .

3、公交车为什么又在停？is the bus again?

4、你必须保持你的桌子干净整洁You must keep your desk and .

五、英汉互译。

1. 睡觉前

2. 保持房间整洁

3. 跑得快

4. 帮助他的父母

5. 过来看她

6. 一些坏习惯

7. 做得好8. 非常了解

9. put …in order10. show…around

11. 起床早12. before lunch

13. 一些好习惯 14. brush teeth

15. 在街上16. make a big hole

17. 感到困倦的 18. catch the lion

19. 大声笑20. hit the ball hard

六、用所给单词的适当形式填空。

1. My father never (go) to bed early.

2. Mike is brushing his (tooth) in the bathroom.

3. I (finish) my homework early yesterday.

4. Liu Tao should listen to (he ) mother at home.

5. Yang Ling always does (good) at home.

6. My brother (do not )go to school early every day.

致密动脉征

【英文】The dense artery sign

【又名】大脑中动脉高密度征(The hyperdense middle cerebral artery sign；The hyperdense MCA sign;The dense middle cerebral artery sign；The hyperattenuating MCA sign ；HMCA sign ；HMCA)

【表现】CT平扫征象，表现为与对侧相比大脑中动脉的第1到2段密度增加或大脑其他动脉的密度增加。【解释】致密动脉征是大脑动脉(常见于大脑中动脉)阻塞导致脑梗塞的间接征象。高密度的成分代表大脑动脉腔内的血块、血栓或栓子。流动血液的CT值大约是40 Hu，与血红蛋白浓度线性相关,栓塞时血栓内血浆浓缩，血栓的CT值大约是80 Hu，呈现高密度。

【讨论】

致密动脉征，文献认为系血栓所致,其密度(77-89Hu)介于正常血管( 35- 60HU )与钙化斑(114-321Hu)之间，常见于心源性脑梗塞。大脑中动脉第一段（M1）位于侧裂内,动脉阻塞的机会也较多，从而卒中后显示此征的机会较多，目前已有较多学者进行研究，故又称此征为“大脑中动脉高密度征”。实际上大脑内的动脉均可发生栓塞而导致脑梗塞，因此，称“致密动脉征”更为恰当。

CT常为急性脑梗塞的首选检查方法，但是，在梗塞后的先头几个小时，CT常表现正常。当早期缺血性梗塞的影像改变出现时，一开始常为隐蔽的并随时间而明显，熟悉一些急性梗塞的影像征象有助于识别其病因。在一些研究中，大脑中动脉分布区有脑梗塞的病人，约22.6% -61%出现HMCA征。血管造影提示，HMCA 征最可能的原因是血栓栓塞。

大脑中动脉阻塞的早期征象包括HMCA征，豆状核征、岛带消失征、低密度灶、占位征及皮质征，这些征象在梗塞后6小时可变得明显，HMCA征从理论上讲可在血管阻塞时就能在CT图像上看见，早于急性脑卒中的其他改变。另外，HMCA征是一过性的，大多数有急性脑梗塞症状及HMCA征的病人，MCA征在几天内或通过溶栓治疗后消失，证实了血凝块的移动性。其它CT征象均为不同程度的局部脑水肿所致。有作者发现脑梗塞后30min既可显示硬膜外压增高，提示有脑水肿，缺血性脑水肿在不同解剖部位和水肿及缺血坏死的不同程度分别引起不同的表现。豆状核征在6h内组出现频率最高，脑岛带征及皮质征在6-12h组出现最多，低密度灶在12-24h组出现率最高。

当见到HMCA征时，要注意并不总是代表血管阻塞，比如在红细胞压积水平高时，因为血液的CT值增加或者血管壁钙化（常与糖尿病及高血压相关）会出现假阳性。单侧大脑中动脉高密度比双侧更可靠。

Krings等最近研究认为,35.4%的大脑后动脉梗塞出现“大脑后动脉高密度征”(The hyperdense posterior cerebral artery sign,HPCA),环池内常见,特异性为95.4%,丘脑常被影响,当大脑后动脉高密度征存在,预示梗塞范围相对较大。本征象有助于大脑后动脉梗塞的诊断。

总之，虽然有假阳性，在已出现脑梗塞症状的病人，致密动脉征有较高的诊断价值，当同时并有其他早期脑梗塞的早期征象时，致密动脉征征可靠性更高。

附图CT平扫示“大脑后动脉高密度征”

女性，67岁，突然发生偏瘫和偏盲。CT平扫显示环池内的左侧大脑后动脉密度增高（图A、B 箭）；1天后CT复查（图C），可见丘脑梗塞灶。

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