问题 问答题

简述MG的诊断及治疗要点。

答案

参考答案:MG的诊断及治疗要点:

(1)诊断:①起病隐袭,首发症状多为一侧或双侧眼外肌麻痹,重者眼球运动明显受限,瞳孔括约肌一般不受累。②受累肌肉呈病态疲劳,连续收缩后发生严重无力甚至瘫痪,短期休息后可好转,晨轻暮重。③多累及眼外肌及其他颅神经支配的肌肉、四肢及躯干肌,一般平滑肌和膀胱括约肌均不受累。④疲劳试验。⑤高滴度.AChR-Ab。⑥神经重复低频刺激阳性。⑦抗胆碱酯酶药物试验。

(2)治疗:①抗胆碱酯酶药物:新斯的明、吡啶斯的明等。②病因治疗.A.肾上腺皮质类固醇类.B.免疫抑制剂;C.血浆置换;D.免疫球蛋白.E.胸腺切除。

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阅读下面短文并回答问题,然后将答案写到答题卡相应的位置上(请注意问题后的词数要求)。

[1] One young man went to apply for a managerial position in a big company. He passed the first interview; the director did the last interview, and made the last decision.

[2] The director discovered from the CV(简历) that the youth's academic achievements were excellent all the way. He asked, “Did you obtain any scholarship in school?” The youth answered “None”.The director asked, “Was it your father who paid for your school fees?” The youth answered, “My father passed away when I was one year old; it was my mother who paid for them.” The director asked, “Where did your mother work?” The youth answered, “My mother worked as a clothes cleaner.” The director asked, “Have you ever helped your mother wash the clothes before?” The youth answered, “Never, my mother always wanted me to study and read more books.”

[3] The director requested the youth to show his hands. The youth showed a pair of hands that were smooth and perfect. The director said, “I have a request. When you go back today, go and ___________,and then see me tomorrow morning.”

[4] The youth went back and requested his mother to let him clean her hands. His mother felt strange, happy but with mixed feelings, she showed her hands to the kid.

[5] The youth cleaned his mother’s hands slowly. His tears fell as he did that. This was the first time the youth had realized that it was this pair of hands that washed the clothes every day to pay the school fees. Then the youth quietly washed all the remaining clothes.

[6] The next morning, the youth went to the director's office. The director asked, “Can you tell me what you have done and learned yesterday in your house?”

[7] The youth said, “Number 1, I know now what is appreciation. Without my mother, there would not the successful me today. Number 2, by working together and helping my mother, only I now realize how difficult and tough it is to get something done. Number 3, I have come to appreciate the importance and value of family relationship.

[8] The director said, “This is what I am looking for to be my manager. I want to recruit(招募) a person who can appreciate the help of others, a person who knows the sufferings of others to get things done, and a person who would not put money as his only goal in life. ”

小题1:Why did the young man go to see the director?(within 10 words)

小题2:In what way did the mother support his son through his education?(within 6 words)

小题3:Why did the director request to see the young man’s hands?(within 10 words)

小题4:Finish the sentence in Paragraph 3.(within 5 words)

小题5:What do you think was the director’s final decision?(within 5 words)