m16baobei 2008-1-16 07:05
孕妇仰卧易诱险症
小林平素体质尚好,只是血压有点偏低,因没有明显症状便没当回事,怀孕之后,情况就不一样了。怀胎到7个月时,患了一种“怪病”,站起来活动没有什么异常,可一到睡觉病就来了:如果仰卧位,不一会就出现头晕、恶心、呕吐、胸闷、面色苍白,出冷汗、脉搏加快、心悸不安,大有虚脱之势。家人百思不得其解,营养没少一点,活没多干一点,睡觉怎么会出毛病呢?带着这个疑问,丈夫用救护车护送她到了医院。
大夫经过仔细的询问和必要的检查,胸有成竹地在病历的诊断栏里写上了“仰卧位低血压综合征”。
顾名思义,仰卧位低血压综合征是指在特定的仰卧位时导致的血压急骤下降的一系列症候,甚至会导致休克。本病又叫“妊娠后期仰卧循环性虚脱”、“姿态性休克”、“妊娠晚期下腔静脉综合征”等。本病发病率为2%-30%,症状有轻有重,轻者临床症状很快消失,重者持续至改变体位为止。
本病发生的原因是多方面的。人的血压高低,与心脏排出血量、循环血容量、血管外周阻力、血液粘稠度、血管弹性等因素有关,而这些因素又受到神经系统的调节。随着胎儿不断增大,仰卧时,增大的子宫压迫下腔静脉,使盆腔和下腔静脉的血液回流受阻,到达心脏的血液骤减,导致心排血量迅速下降,血压随之降低。增大的子宫还会压迫横隔,引起迷走神经兴奋,使心跳减慢,心脏血管扩张,同样导致血压下降。妊娠晚期,子宫本身的用血量约占全身的16.67%,也会使返回心脏的血量减少,继而血压下降。
原因虽多,结果却一样,均出现血压下降引发的症状,那么,这种低血压是否能预防呢?回答是肯定的。
根据本综合征均发生在孕28周之后,特别是32-36周时最易发作,和仰卧7分钟左右开始出现症候等特点,故要把预防重点放在妊娠晚期、放在避免长时间仰卧上。
对于已发生过仰卧位低血压的孕妇,对有低血压病史的孕妇,要重点保护。必须坚持在睡觉时取左侧卧位或取右侧卧位,使腰椎前弯度减小;临睡前适当饮用些流质食物,诸如蛋汤、菜汤之类,可有效地减少疾病发作。此外,睡觉前应避免过多出汗、过食甜食、过于劳累,活动后不宜立即卧床,更不宜仰卧。对发作严重且频繁者,还可服用阿托品预防。使用剂量应根据血压降低的程度决定,遵照医师的意见。如在产前确诊为本病,务必请医院接生,以免发生危险,即使有过轻度症状,也不可麻痹大意,这样做是为了两代人的健康。
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Jennifer Leigh World of Warcraft Interview
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[size=2][b]June 11, 2008[/b] - Fantasy is a word that is instantly familiar to anyone who visits RPG Vault on a regular basis. We've seen and used it countless times, so often that its meaning has become deeply ingrained. We understand automatically that it refers to a specific category of fiction, one the vast majority of us has probably appreciated for years. Indeed, it's a pretty safe assumption that we deliberately seek out opportunities to explore the highly imaginative worlds where our favorite books, movies and, of course, video games take place. We go to them to escape the mundane tasks and routines of our daily lives by participating in grueling quests and sweeping adventures that fire our imaginations. They allow us to see and investigate wondrous settings filled with intriguing characters to meet, exotic creatures to befriend, powerful villains to defeat, and much more.
A gamer since she was a child [b][i][color=#990000]Jennifer "Jennicide" Leigh[/color][/i][/b] definitely appreciates this kind of fantasy. Earlier this year, she learned firsthand about another, the male type, when she appeared in Playboy magazine. Her pictorial feature came about as the result of playing poker for a living, which is something else quite a few men daydream about. Sometime during the past year or so, it came to our attention that she's quite an avid World of Warcraft player. We thought it would be interesting to ask about her avocation, so we set out on our own little quest to contact her. A few weeks ago, we succeeded not only in doing that, but also in obtaining agreement to answer our questions. As you can see, she was gracious enough to respond with a considerable amount of interesting information and opinions.
[b]Jonric: Where are you from, what's your background, and how did you first become interested in video games?
Jennifer Leigh:[/b] I'm originally from Wilmington, Delaware...although currently, I travel around and call poker rooms and nightclubs everywhere home. I attended the University of Delaware, focusing on political science, philosophy and psychology, and thinking about law school. I never completed a degree because I'm a person who enjoys reading and studying without feeling pressured to do so. Growing up, I played a lot of educational video games. They certainly helped my creativity and enthusiasm to learn since I disliked waking up and putting on my private school uniform every day.
[indent][size=+1][b][i]the worst beat is going on a date with a guy, [/i][/b][url=http://goleveling.com/][size=2]World of Warcraft gold[/size][/url] [b][i]and the conversation is only about cards. I probably don't come back for seconds; I like diversity for sure.[/i][/b][/size][/indent]Gaming has always been a big part of my life; my dad introduced me to Zelda, Dragon Warrior, Final Fantasy and even Maniac Mansion when I was about three years old. I loved my Barbies, but definitely preferred my video games.
[b]Jonric: Do you prefer particular genres? Are there any you tend to avoid? Which massively multiplayer titles have you played?[/b]
[b]Jennifer Leigh:[/b] I love most games today. My least favorite type is first-person shooters. I played a bit of Counter-Strike and Unreal Championship, but it's best for me to stay away from them. They bring out the bad girl in me too much. I prefer role-playing and fantasy. I play a lot on DS and PSP because they're okay in airports and on planes. I just picked up Phantom Hourglass for the DS, so I'll be getting into that soon.
World of Warcraft is the only MMOG I've played recently. The Realm, EverQuest and Guild Wars are others I played earlier. When I have down time in between poker, photo shoots and traveling, I'm definitely getting some play in.
[b]Jonric: How did you become a professional poker player, what do you regard as your main accomplishments so far, and do you prefer tournaments or cash games?
Jennifer Leigh:[/b] I'm very competitive, and started playing poker [url=http://veryge.com/][size=2][b]Buy WOW Gold[/b][/size][/url]
online at the age 21 because I was getting tired of challenging people on Yahoo at pool, chess and spades. Being a broke college student, I began at very small stakes. I never really sat down and thought about playing professionally, but stopped attending my classes because of my late night poker games. I was making a decent amount of money, and started traveling the tournament circuit.
My main accomplishments don't involve money or trophies, but rather being an attractive female in a male-dominated industry. I'm confident the wins and awards will come. My greatest strength is certainly having a natural instinct and competitive drive... although sometimes, my over-competitiveness can get the best of me.
I have no preference between live and online poker, except the latter lets me sit around in a t-shirt I woke up in, get up from my computer whenever I want, and blast loud music in the background. Playing live, it's sometimes difficult concentrating and staying still. I play both tournaments and cash games.
[b]Jonric: With the World Series of Poker under way, how many tournaments do you plan to play? How important is this event for you?
Jennifer Leigh:[/b] I don't have a set schedule as to which tournaments I'll play. If I win one early on, I may enter them all. If I run poorly, I'll probably play fewer so I can still have a sense of sanity when the WSOP is over. There are so many events that running badly for the entire series can be pretty hard to handle emotionally.
Everyone makes the WSOP out to be the most important time for a poker player, but I believe there's much more life. I sometimes look back and see how I never learned to balance my life. My first WSOP experience was much like that. I played in over 15 tournaments, [url=http://goleveling.com/][b][font=黑体][size=2]cheap WoW gold[/size][/font][/b][/url] with only one significant finish, and busted out of five with pocket aces. Being sucked out on in tournaments is incredibly brutal, but having it happen to you that many times in a month or so, when the buy-ins are over $1,000 each, is even worse. But the worst beat is going on a date with a guy, and the conversation is only about cards. I probably don't come back for seconds; I like diversity for sure.
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