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Sleep is a funny thing. We're taught that we should get seven or eight hours a night, but

a lot of us get by just fine on less, and some of us actually sleep too much. A study out of the University of Buffalo reported that people who routinely sleep more than eight hours a day and are still tired are nearly three times as likely to die of stroke--probably as a result of an underlying disorder that keeps them from sleeping soundly.

Doctors have their own special sleep problems. Residents are famously short of sleep. It is not unusual for. them to work 40 hours in a row without rest. They are not in the least worried about it, confident they can still deliver the highest quality of medical care. But an article in the Journal of the American Medical Association points out that in the morning after 24 hours of sleeplessness, a person' s motor performance is comparable to that of someone who is drunk. Curiously, surgeons who believe that operating under the influence of alcohol is grounds for sacking often don' t think twice about operating without enough sleep.

"I could tell you horror stories," says Jaya Agrawal, president of the American Medical Student Association, which runs a website for residents. Some are terrifying." I was operating after being up for over 36 hours," one writes. "I literally fell asleep standing up and nearly planted my face into the wound."

"Practically every surgical resident I know has fallen asleep at the wheel driving home from work," writes another. "I know of three who have hit parked cars. Another hit a 'Jersey gate' on the New Jersey Expressway, going 105kin/h."

"Your own patients have become the enemy," writes a third, because they are "the one thing that stands between you and a few hours of sleep."

The U.S. controls the hours of pilots and truck drivers. But until such a system is in place for doctors, patients are on their own. If you're worded about the people treating you or a loved one, you should feel free to ask how many hours of sleep they have had and if more rested staffers are available.

Sleep is a funny thing because ______.

A.the longer one sleeps, the less sound sleep he gets

B.the more sleep one gets, the more likely a stroke occurs

C.many people stick to about eight hours of sleep to stay fine

D.many people who sleep six hours a night still feel energetic in the day

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更多“Sleep is a funny thing. We're …”相关的问题

第1题

男,54岁,有脑动脉硬化史3年余,因左侧肢体无力伴视物成双3天住院。检查:神清,口齿不清;右眼处于外展位,不能内收;右瞳孔扩大,对光反射消失;左鼻唇沟变浅,口角歪向右侧,伸舌偏向左侧;左侧肢体肌力3级,肌张力增高;左侧病理征阳性。最合适的辅助检查()

A.头MR

B.头

C.T

D.脑电图

E.腰穿

F.肌电图

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第2题

男,54岁,有脑动脉硬化史3年余,因左侧肢体无力伴视物成双3天住院。检查:神清,口齿不清;右眼处于外展位,不能内收;右瞳孔扩大,对光反射消失;左鼻唇沟变浅,口角歪向右侧,伸舌偏向左侧;左侧肢体肌力3级,肌张力增高;左侧病理征阳性。最合适的辅助检查

A、头MRI

B、头CT

C、脑电图

D、腰穿

E、肌电图

点击查看答案

第3题

男性患者,57岁,以"口齿不清、口角歪斜,左侧肢体无力3天"来诊,高血压病病史3年。查体:神清,不完全运
动性失语,左侧面舌中枢性瘫痪,左侧肢体肌力1级,左侧Babinski征阳性。应进行的检查为

A、腰椎穿刺

B、DSA

C、EEG

D、CT

E、TCD

点击查看答案

第4题

男性患者,54岁,急性起病,因左侧肢体无力伴视物成双2天入院。既往有糖尿病病史3年余,脑梗死病史1年
,无明显后遗症。神经系统检查:神清,右瞳孔扩大,对光反射消失,右眼处于外展位,内收受限,左鼻唇沟变浅,伸舌偏向左侧,左侧肢体肌力3级,肌张力增高,左侧病理征阳性。该病病变部位应在A、右侧大脑半球

B、右侧中脑

C、左侧延髓

D、左侧脑桥

E、右侧脑桥

此病可以称做哪种综合征A、Wallenbergsyndrome

B、Millard-Gublersyndrome

C、Webersyndrome

D、Fovillesyndrome

E、Benediksyndrome

若该患出现言语不清,最有可能的是A、Broca失语

B、Wernicke失语

C、命名性失语

D、混合性失语

E、构音障碍

该患不可能出现的是A、饮水呛咳

B、吞咽困难

C、咽反射消失

D、强哭强笑

E、咽反射存在

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第5题

患者,男性,21岁,右侧肢体抽搐2年,突然昏迷1小时。查体:神志浅昏迷,左侧肢体偏瘫。CT显示右额叶脑内血肿,临床诊断最可能是

A.原发性癫痫

B.脑动脉硬化

C.脑动脉瘤

D.脑血管畸形

E.高血压脑出血

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