问题 多项选择题 案例分析题

患者男,58岁,因“尿频伴排尿困难1年”来诊。脑梗死病史1年半,现仍有一侧肢体活动受限。查体:直肠指诊示前列腺体积增大,表面光滑无结节。实验室检查:血PSA2.1ng/ml,血肌酐正常;尿常规:RBC3~4/HP,WBC2~3/HP。泌尿系统B型超声:上尿路未见异常,前列腺5cm×4cm×4cm,膀胱残余尿180ml。最大尿流率7ml/s。

复查尿流动力学:膀胱出口梗阻,最大逼尿肌收缩压80cmH2O。对于该患者下一步的治疗选择为()。

A.外科手术(TURP)

B.拔除尿管后自由排尿

C.拔除尿管后接受α-受体阻滞药+5α-还原酶抑制剂联合治疗,必要时手术治疗

D.继续留置尿管

E.继续留置尿管,同时接受α-受体阻滞药+5α-还原酶抑制剂治疗

F.外科手术(TURP)后接受α-受体阻滞药+5α-还原酶抑制剂治疗

答案

参考答案:A, C

多项选择题 案例分析题
阅读理解

阅读理解。

     We know that many animals do not stay in one place. Bird, fish and other animals move from one

place to another at a certain time. They move for different reasons: most of them move to find food more

easily, but others move to get away from places that are too crowded.

     When cold weather comes, many birds move to warmer places to find food. Some fishes give birth in warm water and move to cold water to feed. The most famous migration (迁移) is probably the migration of the fish, which is called "salmon". This fish is born in fresh water but it travels many miles to salt water.

There it spends its life. When it is old, it returns to its birthplace in fresh water. Then it gives birth and dies

there. In northern Europe, there is a kind of mouse. They leave their mountain homes when they become

too crowded. They move down to the low land. Sometimes they move all the way to the seaside, and

many of them are killed when they fall into the sea.

     Recently, scientists have studied the migration of a kind of lobster (龙虾). Every year, when the

season of bad weather arrives, the lobsters get into a long line and start to walk across the floor of the

ocean. Nobody knows why they do this, and nobody knows where they go.

So, sometimes we know why humans and animals move from one place to another, but at other times

we don't. Maybe living things just like to travel.

1. Most animals move from one place to another at a certain time to _________.

A. give birth

B. enjoy warmer weather

C. find food more easily

D. find beautiful places

2. The fish called "salmon" spends a long life in _________.

A. salt water

B. rivers  

C. fresh water

D. its birthplace

3. What is the main idea of the passage?

A. Animals move in order to find food more easily.

B. The migration of the fish called "salmon" is the most famous migration.

C. Living things move from one place to another because they like to travel.

D. sometimes we know why and how living things move from one place to another,

     but sometimes we don't.