试题与答案

患者,女,43岁。恶性胸腺瘤切除术后3天,术中发现胸腺瘤侵犯左侧无名静脉和升主动脉及

题型:多项选择题 案例分析题

题目:

患者,女,43岁。恶性胸腺瘤切除术后3天,术中发现胸腺瘤侵犯左侧无名静脉和升主动脉及上腔静脉,无法完全切除,游离胸腺瘤时曾损伤上腔静脉,予以修补。现颜面部、颈部及双侧上肢进行性肿胀2天,神清,静脉超声心动图提示上腔静脉狭窄伴双侧颈静脉内血栓形成。

(提示此患者经开胸探查,予以右侧头臂干静脉右房人工血管转流术,术后上半身肿胀明显消退,2天后意识转为清醒。)那么关于该患者下一步治疗错误的是()

A.肝素治疗

B.溶栓治疗

C.出院前调整为华法林抗凝半年

D.放疗

E.再次胸腺瘤切除

F.腔房转流术

答案:

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题型:阅读理解

阅读理解。

       Little Mike's grandma died weeks ago. He missed her very much.  One afternoon Mike went to the

  city park, where his grandma used to go. There he saw an old lady. She looked very kind. She was

  sitting there, watching birds. Little Mike went up and sat next to her. He took out his food and drinks and

   gave some to her.  She smiled at him.  Her smile was so sweet that Mike wanted to see it again. She

  seemed to understand him, so once again she smiled.  Mike was very glad.

       They sat there all the afternoon, eating and talking. As it grew dark, Mike got up to leave. Before he

  left, he hugged (拥抱) the old lady and she gave him her sweetest smile.

       When Mike got home, his mother was surprised by the look of joy on his face. "I met a granny in the

   park. Her smile was like the kind of smile I had seen on Grandma's face. "

       The old lady also returned to her home happily. She told her son that she had had food and drinks

  with a little boy. "He was as lovely as Brittany." she said. Her son was surprised, because he had never

  seen her so happy since Brittany, her grandson, died weeks ago.

       When people are kind to each other, they will feel happy.

根据短文内容,回答下列问题。

1. Where did Mike meet an old lady one afternoon?

    _____________________________________________________

2. Why did the old lady smile at Mike?

    _____________________________________________________

3. Did Mike have a good time with the old lady that afternoon?

    _____________________________________________________

4. How did the old lady feel when she returned to her home?

    _____________________________________________________

5. What can we learn from the passage?

    _____________________________________________________

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