问题 多项选择题

患者男,54岁,农民,因“乏力、食欲减退1年余,加重伴尿少,体重下降、渐进性腹胀1个月”来诊。查体:腹部膨隆,无腹壁静脉曲张,腹软,无压痛及反跳痛,肝上界锁骨中线第5肋间,肝、脾触诊不理想,移动性浊音(+)。腹部B型超声(外院):大量腹腔积液,肝右叶外侧包膜下积液可能。

根据初步检查结果,主要考虑的疾病是(提示 外周血白细胞分类:E 0.06;肝、肾功能:正常;腹腔积液:乳白色,相对密度1.033,李凡他试验(+),细胞计数1200×10/L,细胞分类:中性粒细胞0.16,淋巴细胞0.72,间皮细胞0.12。腹部B型超声:肝表面光滑,形态正常,门静脉12 mm,脾肋间厚38 mm,胰腺大小、形态正常,无肿物,大量腹腔积液。)()

A.结核性腹膜炎

B.晚期血吸虫病

C.肝硬化

D.巴德-吉亚利综合征(Budd-ChiarisyndromE.

E.丝虫病性乳糜腹腔积液

F.腹腔内肿瘤

G.心源性腹腔积液

答案

参考答案:A, E, F

选择题
单项选择题

Extract 1

A stylish dining room with cream walls and curtains and black carpet as perfect foil to an eclectic array of furniture. Many of the pieces are classics of their particular era, and demonstrate how old and new designs can be happily mixed together. The prototype chair in the foreground has yet to prove its staying power and was thought up by the flat’s occupant. He is pictured in his living room which has the same decorative theme and is linked to the dining room by a high Medieval-styled archway where was once a redundant and uninspiring fireplace.

Extract 2

Old bathrooms often contain a great deal of ugly pipework in need of disguising. This can either be done by boxing in the exposed pipes, or by fitting wood paneling over them.

As wood paneling can be secured over almost anything — including old ceramic tiles and chipped walls — is an effective way of disguising pipework as well as being an attractive form of decoration. The paneling can be vertical, horizontal or diagonal.

An alternative way to approach the problem of exposed pipes is to actually make them a feature of the room by picking the pipework out in bright p colours.

Extract 3

Cooking takes second place in this charming room which; with its deep armchairs, is more of a sitting room than a kitchen, and the new Rayburn stove as a good Choice, as it blends in well with the old brick and beamed fireplace. There are no fitted units or built-in appliances, so all food preparation is done at the big farmhouse table in the foreground; and the china, pots and pans have been deliberately left on show to make an attractive display, What about the kitchen sink It’s hidden away behind an archway which leads into a small scullery. Here there’s a second cooker and — in the best farmhouse tradition — a huge walk-in larder for all food storage.

What is the purpose of the archway described in Extract 1?()

A.To hide an unattractive fireplace.

B.To give the room an exotic eastern style.

C.To join the dining room with the sitting room

D.To make room for the unusual seating arrangements.