问题 多项选择题

患者女性,34岁。因黑便1周,伴四肢皮肤瘀斑入院,5年前始出现全身皮肤瘀斑瘀点,每次持续数日至十数日,经药物治疗(名不详)自行消退,时而鼻出血。近半年来经常出现皮肤瘀斑、瘀点,长时间服"强的松"等药物,一旦停药则症状复发。此次前曾发生3次黑便,每次持续5天至半月不等。查体:体温:37℃,脉搏:80次/分,血压:90/70mmHg。四肢皮肤有散在紫色的瘀斑瘀点,由针尖至0.3×0.3cm大小,脾平卧肋下4cm可扪及,质中。

该患者可采取哪些治疗()

A.糖皮质激素治疗

B.脾切除

C.糖皮质激素加脾切除

D.脾动脉栓塞

E.脾切除加门体断流术

F.抗感染治疗

答案

参考答案:A, B, C, D

填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\

单项选择题 A1/A2型题