患儿男，胎龄40周，剖宫产，出生体重4500g，羊水I30污染，脐带绕颈2周，有宫内窘迫（胎心减慢<100次／分），生后阿氏评分1分钟皮肤青紫，心率>100次／分，呼吸规则，四肢略屈曲，哭声尚可；经清理呼吸道，患儿5分钟时肢端青紫，心率>100次／分，呼吸不规则，四肢松弛，刺激后仅有皱眉，立即给予再次清理呼吸道，吸氧处理，患儿皮肤颜色有所改善，但呼吸慢，不规则，并逐渐出现刺激后无反应。

若持续心率<60次／分，需采取的措施是

A:正压通气及心脏按压 B:气管插管 C:使用肾上腺素 D:继续保暖 E:清理呼吸道 F:吸氧 G:以上都不对

Why India Needs Its Dying Vultures

　　The vultures in question¹ may look ugly and threatening, but the sudden sharp____1____ in three species of India’s vultures is producing alarm rather than² celebration, and it presents the world with a new kind of environmental____2____. The dramatic decline in vulture numbers is causing widespread disruption to people living in the same areas as the____3____. It is also causing serious public health problems____4____ the Indian sub-continent.³
　　While⁴ their reputation and appearance may be unpleasant to many Indians, vultures have____5____ played a very important role in keeping towns and villages all over India clean. It is____6____ they feed on dead cows. InIndia, cows are sacred animals and are____7____ left in the open⁵ when they die in their thousands upon thousands⁶ every year.
　　The disappearance of the vultures has____8____ an explosion in the numbers of wild dogs feeding on the remains of these dead animals. There are fears that rabies may____9____ as a result⁷. And this terrifying disease may ultimately affect humans in the region, since wild dogs are its main carriers. Rabies could also spread to other animal species, causing an even greater problem in the____10____.
　　The need for action is____11____, so an emergency project has been launched to____12____ a solution to this serious vulture problem. Scientists are trying to identify the disease causing the birds’ deaths and, if possible, develop a cure.
　　Large-scale vulture____13____ were first noticed at the end of the 1980s inIndia. A population survey at that time showed that the three species of vultures had declined____14____ over 90 per cent. All three species are now listed as “critically endangered”⁸. As most vultures lay only single eggs and____15____ about five years to reach maturity, reversing their population decline will be a long and difficult exercise.

词汇：

vulture / ˈvʌltʃə / n．秃鹰
species / "spi:ʃi:z / n．物种，种类
disruption / dɪs"rʌpʃn / n．破坏，毁坏
rabies / "reɪbi:z / n．狂犬症
ultimately / ˈʌltɪmətli / adv．最终地
endanger / ɪn"deɪndʒə / v．危及，濒危
maturity / mə"tʃʊərətɪ / n．成熟期

注释：

1. The vulture in question: 讨论中的秀鹰（问题)。in question 意为“讨论中的，考虑中的”。

2. rather than：而不是。例:Your proposal is positive rather than negative. (你的提议是积极的，而不是消极的。）

3. the Indian sub-continent: 印度次大陆

4. while: 虽然。例:While he has published many papers, he is modest. (虽然他发表了多篇论文，他还是很谦虚。）

5. thousands upon thousands:成千上万的

6. in the open:在户外，在野外

7. as a result:结果

8. listed as “critically endangered”：被列为极度濒危动物

空14

A:along B:on C:in D:by

Life Expectancy in the Last Hundred Years

　　A hundred years ago，life expectancy in developed countries was about 47: in the early 21st century, men in the United States and the United Kingdom can expect to live to about 74. Women to about 80, and these    1    are rising all the time. What has brought    2    these changes? When we look at the life    3    of people l00 years ago, we need to look at the greatest    4    of the time. In the early 20th century, these were the acute and often     5     infectious diseases such as smallpox. Many children died very young from these diseases and others, and the weak and elderly were always at risk.
　　In the    6    world these diseases are far    7    today, and in some cases have almost disappeared. A number of    8    have led to this: improvements in sanitation and hygiene, the discovery and use of antibiotics, which    9    bacterial diseases much less dangerous, and vaccinations  10  common diseases.    11   , people"s general health has improved with improvements in our general environment: cleaner air, better means of preserving food，better and warmer housing，and better understanding of nutrition.
　　Genetically，we should all be able to live to about 85 but    12    people do live longer today, there are still some big killers around that are preventing US from consistently reaching that age. The problems that affect people today are the more chronic illnesses, such as heart disease and strokes, and those    13    by viruses, such as influenza and AIDS¹. Of course, cancer is a huge killer as well. In most cases these diseases affect    14    people, but there are worrying trends in the developed world with problems such as obesity    15    more heart disease and illnesses such as diabetes at younger ages.
　　The killers today can be classed as "lifestyle diseases"，which means that it may be possible to halt their progress.

词汇：
expectancy/ ɪk"spektənsɪ/ n．预期 

acute / əˈkju:t /adj．(疾病)急性的

infectious/ ɪnˈfekʃəs/ adj．传染性的 

smallpox / ˈsmɔ:lpɒks /n.天花

sanitation/ ˌsænɪˈteɪʃn/ n．环境卫生 

hygiene/ ˈhaɪdʒi:n/ n．个人卫生 

antibiotic / ˌæntibaɪˈɒtɪk /n．抗生素

bacterial/ bæk"tɪərɪəl/ adj．细菌性的 

vaccination / ˌvæksɪ"neɪʃn /n．种痘，接种

preserve/ prɪˈzɜ:v/ vt．保藏，防止(食物)腐烂 

nutrition/ njuˈtrɪʃn/ n．营养

chronic / "krɒnɪk /adj．(疾病)慢性的 

stroke/ strəʊk/ n．中风

virus / "vaɪrəs /n．病毒 

influenza / ˌɪnflʊ"enzə /n．流行性感冒

trend/ trend/ n．趋势，倾向 

obesity/ əʊ"bi:sətɪ/ n．肥胖

diabetes/ ˌdaɪəˈbi:ti:z/ n．糖尿病 

注释：