男性,50岁。2小时前木棒击伤左颞部,伤后头痛,呕吐,1小时前意识不清,查体中度昏迷,左瞳散大,右侧肢体病理征(+),诊断考虑为

A、颅骨凹陷骨折伴脑疝
B、硬膜下血肿伴脑疝
C、硬膜外血肿伴脑疝
D、脑损伤伴脑疝
E、原发脑干损伤
查看答案
正确答案:

D

答案解析:

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BernardBailynhasrecentlyreinterpretedtheearlyhistoryoftheUnitedStatesbyapplyingnewsocialresearchfindingsontheexperiencesofEuropeanmigrants.Inhisreinterpretation,migrationbecomestheorganizingprincipleforrewritingthehistoryofpreindustrialNorthAmerica.Hisapproachrestsonfourseparatepropositions.ThefirstoftheseassertsthatresidentsofearlymodernEnglandmovedregularlyabouttheircountryside;migratingtotheNewWorldwassimplyanaturalspillover.AlthoughatfirstthecoloniesheldlittlepositiveattractionfortheEnglishDtheywouldratherhavestayedhomeDbytheeighteenthcenturypeopleincreasinglymigratedtoAmericabecausetheyregardeditasthelandofopportunity.Secondly,Bailynholdsthat,contrarytothenotionthatusedtoflourishinAmericahistorytextbooks,therewasneveratypicalNewWorldcommunity.Forexample,theeconomicanddemographiccharacterofearlyNewEnglandtownsvariedconsiderably.Bailyn'sthirdpropositionsuggesttwogeneralpatternsprevailingamongthemanythousandsofmigrants:onegroupcameasindenturedservants,anothercametoacquireland.Surprisingly,Bailynsuggeststhatthosewhorecruitedindenturedservantswerethedrivingforcesoftransatlanticmigration.ThesecolonialentrepreneurshelpeddeterminethesocialcharacterofpeoplewhocametopreindustrialNorthAmerica.Atfirst,thousandsofunskilledlaborerswererecruited;bythe1730's,however,Americanemployersdemandedskilledartisans.Finally,Bailynarguesthatthecolonieswereahalf-civilizedhinterlandoftheEuropeanculturesystem.HeisundoubtedlycorrecttoinsistthatthecolonieswerepartofanAnglo-Americanempire.ButtodividetheempireintoEnglishcoreandcolonialperiphery,asBailyndoes,devaluestheachievementsofcolonialculture.Itistrue,asBailynclaims,thathighcultureinthecoloniesnevermatchedthatinEngland.Butwhatofseventeenth-centuryNewEngland,wherethesettlerscreatedeffectivelaws,builtadistinguisheduniversity,andpublishedbooksBailynmightrespondthatNewEnglandwasexceptional.However,theideasandinstitutionsdevelopedbyNewEnglandPuritanshadpowerfuleffectsonNorthAmericanculture.AlthoughBailyngoesontoapplyhisapproachtosomethousandsofindenturedservantswhomigratedjustpriortotherevolution,hefailstolinktheirexperiencewiththepoliticaldevelopmentoftheUnitedStates.Evidencepresentedinhisworksuggestshowwemightmakesuchaconnection.TheseindenturedservantsweretreatedasslavesfortheperiodduringwhichtheyhadsoldtheirtimetoAmericanemployers.Itisnotsurprisingthatassoonastheyservedtheirtimetheypassedupgoodwagesinthecitiesandheadedwesttoensuretheirpersonalindependencebyacquiringland.Thus,itisinthewestthatapeculiarlyAmericanpoliticalculturebegan,amongcolonistswhoweresuspiciousofauthorityandintenselyanti-aristocratic.

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[A]AlargerpercentageofmigrantstocolonialNorthAmericacameasindenturedservantsthanasfreeagentsinterestedinacquiringland.

[B]Migrantswhocametothecoloniesasindenturedservantsweremoresuccessfulatmakingalivelihoodthanwerefarmersandartisans.

[C]MigrantstocolonialNorthAmericaweremoresuccessfulatacquiringtheirownlandduringtheeighteenthcenturythanduringtheseventeenthcentury.

[D]Bythe1730's,migrantsalreadyskilledinatradewereinmoredemandbyAmericanemployersthanwereunskilledlaborers.

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[A]GivesufficientemphasistotheculturalandpoliticalinterdependenceofthecoloniesandEngland.

[B]DescribecarefullyhowmigrantsofdifferentethnicbackgroundspreservedtheircultureintheUnitedStates.

[C]TakeadvantageofsocialresearchontheexperiencesofcolonistswhomigratedtocolonialNorthAmericaspecificallytoacquireland.

[D]RelatetheexperienceofthemigrantstothepoliticalvaluesthateventuallyshapedthecharacteroftheUnitedStates.

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[A]Itistotallyimplausible.

[B]Itispartiallyacceptable.

[C]Itishighlyadmirable.

[D]Itiscontroversialthoughpersuasive.

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[A]HighcultureinNewEnglandneverequaledthehighcultureofEngland.

[B]TheculturalachievementsofcolonialNewEnglandhavegenerallybeenunrecognizedbyhistorians.

[C]ThecolonistsimitatedthehighcultureofEngland,anddidnotdevelopaculturethatwasuniquelytheirown.

[D]ThesoutherncoloniesweregreatlyinfluencedbythehighcultureofNewEngland.

5.TheauthorofthetextwouldbemostlikelytoagreewithwhichofthefollowingstatementsaboutBailyn'swork

[A]BailynunderestimatestheeffectsofPuritanthoughtonNorthAmericanculture.

[B]BailynoveremphasizestheeconomicdependenceofthecoloniesonGreatBritain.

[C]Bailyn'sdescriptionofthecoloniesaspartofanAnglo-Americanempireismisleadingandincorrect.

[D]BailynfailedtotesthispropositionsonaspecificgroupofmigrantstocolonialNorthAmerica.

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