问题 单项选择题 共用题干题

男性,68岁。病人持续性寒战高热1周余,伴有头痛、恶心等,这几天会阴部有坠胀感,便意不尽,排尿不适,大便有黏液。

考虑为高位复杂性肛瘘时,需做肛瘘手术治疗的关键是().

A.避免切断肛管外括约肌下部

B.正确地找到内口,将内口瘘管壁一次切除

C.切开肛管直肠环

D.可分期治疗,先使之成为单纯性肛瘘,再予以挂线疗法

E.切开瘘管壁,散开引流

答案

参考答案:D

阅读理解

In my procession as an educator and health care provider, I have worked with numerous children infected with the virus that causes AIDS. The relationships that I have had with these special kids have been gifts in my life. They have taught me so many things, but I have especially learned that great courage can be found in the smallest of packages. Let me tell you about Tyler.

Tyler was born infected with HIV: his mother was also infected. From the very beginning of his life, he was dependent on medications to enable him to survive. When he was five, he had a tube surgically inserted in a vein in his chest. This tube was connected to a pump, which he carried in a small backpack on his back. Medications were hooked up to this pump and were continuously supplied through this tube to his bloodstream. At times, he also needed supplemented oxygen to support his breathing.

Tyler wasn’t willing to give up one single moment of his childhood to this deadly disease. It was not unusual to find him playing and racing around his backyard, wearing his medicine-laden backpack and dragging his tank of oxygen behind him in his little wagon. All of us who knew Tyler marveled at his pure joy in being alive and the energy it gave him. Tyler’s mom often teased him by telling him that he moored so fast she needed to dress him in red. That way, when she peered through the window to check on him playing in the yard, she round quickly spot him.

This dreaded disease eventually wore down even the likes of a little dynamo like Tyler. He grew quite ill and, unfortunately, so did his HIV-infected mother. When it became apparent that he wasn't going to survive, Tyler's mom talked to him about death. She comforted him by telling Tyler that she was dying too, and that she would be with him soon in heaven.

A few days before his death, Tyler beckoned me over to his hospital bed and whispered, “I might die soon. I’m not scared. When I die, please dress me in red. Mom promised she’s coming to heaven, too. I’ll be playing when she gets there, and I want to make sure she can find me.”

小题1:What is the boy Tyler’s attitude towards death?

A.pessimistic.

B.optimistic.

C.sorrowful.

D.fearful.小题2:Tyler requested the writer to dress him in red when he died simply because        .

A.red is a lucky color.

B.red right help to cure him.

C.his mom could spot him easily

D.he could find more mates by wearing red.小题3:Which of the following might serve as a possible title far this passage?

A.My unusual profession.

B.A caring mother.

C.Mother and son.

D.Dying in red.小题4:The underlined word dynamo in the fourth paragraph here means        .

A.a promising and helpful youth

B.an extremely energetic person

C.a rare and beautiful flower

D.a magic and understanding superstar

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