问题 单项选择题

男性,45岁。上消化道出血,经胃镜证实为食管静脉曲张破裂出血,既往有乙肝病史,目前肝功能有轻度损害,应选择哪种术式,既能预防食管曲张静脉再出血,又对肝功能影响小

A.脾切除,贲门周围血管离断术

B.脾肾静脉分流术

C.门腔静脉分流术

D.肠腔分流术

答案

参考答案:A

多选题
单项选择题 案例分析题

Questions 26 to 30 are based on the following passage.

Exercise is one of the few factors with a positive role in long-term maintenance of body weight. Unfortunately, that message has not gotten through to the average American, who would rather try switching to “light” beer and low-calorie bread than increase physical exertion. The Centers for Disease Control, for example, found that fewer than one-fourth of overweight adults who were trying to shed pounds said they were combining exercise with their diet.

In rejecting exercise, some people may be discouraged too much by caloric-expenditure charts: for example, one would have to briskly walk three miles just to work off the 275 calories in one delicious Danish pastry (小甜饼). Even exercise professionals concede half a point here. “Exercise by itself is a very tough way to lose weight,” says York Onnen, program director of the President’s Council on Physical Fitness and Sports.

Still, exercise’s supporting role in weight reduction is vital. A study at the Boston University Medical Center of overweight police officers and other public employees confirmed that those who dieted without exercise regained almost all their old weight, while those who worked exercise into their daily routine maintained their new weight.

If you have been sedentary (极少活动的) and decide to start walking one mile a day, the added exercise could burn an extra 100 calories daily. In a year’s time, assuming no increase in food intake, you could lose ten pounds. By increasing the distance of your walks gradually and making other dietary adjustments, you may lose even more weight.

Some people dislike exercise because ()

A.they think it is physically exhausting

B.they find it hard to exercise while on a diet

C.they don’t think it possible to walk 3 miles every day

D.they find consulting caloric-expenditure charts troublesome