问题 问答题

男性,50岁,右季肋胀痛伴低热3个月。 患者于3个月前开始感右季肋下胀痛不适,偶有低热。自服消炎利胆片效果不明显。食欲不佳,体重减轻4kg,否认其他病史。 查体:T37.4℃,P84次/分,R20次/分,BP100/60mmHg,慢性病容,自主体位,浅表淋巴结未及肿大,皮肤粘膜无黄染,肩及颈部可见蜘蛛痣,肝肋下5cm,质硬,有结节,B超示肝有占位性病变。

答案

参考答案:

1.诊断:原发性肝癌。 

其诊断依据为: 

(1)中年男性,慢性病程。 

(2)右季肋胀痛伴低热,食欲不佳3个月,体重减轻4kg。 

(3)查体肩及颈部可见蜘蛛痣,肝肋下5cm,质硬,有结节。 

(4)既往否认其他病史。 

(5)辅助检查B超示肝有占位性病变。 

2.鉴别诊断 

(1)肝血管瘤 

(2)继发性肝癌 

(3)肝硬化 

(4)肝脓肿 

3.进一步检查 

(1)肝功能 

(2)AFP、DCP 

(3)复查B超 

(4)CT、CTA。 

4.治疗原则 

(1)外科手术切除。 

(2)肝动脉结扎、栓塞治疗。 

(3)化疗及放射治疗。 

(4)免疫治疗和中医中药治疗。 

阅读理解

Tayka Hotel De Sal

Where: Tahua, Bolivia

How much: About $95 a night

Why it’s cool: You’ve stayed at hotels made of brick or wood, but salt? That’s something few can claim. Tayka Hotel de Sal is made totally of salt—including the beds (though you’ll sleep on regular mattresses(床垫) and blankets). The hotel sits on the Salar de Uyuni, a prehistoric dried-up lake that’s the world’s biggest salt flat. Builders use the salt from the 4,633-square-mile flat to make the bricks, and glue them together with a paste of wet salt that hardens when it dries. When rain starts to dissolve the hotel, the owners just mix up more salt paste to strengthen the bricks.

Green Magic Nature Resort

Where: Vythiri, India

How much: About $240 a night

Why it’s cool: Ridding a pulley(滑轮)-operated lift 86 feet to your treetop room is just the start of your adventure. As you look out of your open window—there is no glass!—you watch monkeys and birds in the rain forest canopy. Later you might test your fear of heights by crossing the handmade rope bridge to the main part of the hotel, or just sit on your bamboo bed and read. You don’t even have to come down for breakfast—the hotel will send it up on the pulley-drawn “elevator”.

Dog Bark Park Inn B&B

Where: Cottonwood, Idaho

How much: $92 a night

Why it’s cool: This doghouse isn’t just for the family pet.Sweet Willyis a 30-foot-tall dog with guest rooms in his belly. Climb the wooden stairs beside his hind leg to enter the door in his side. You can relax in the main bedroom, go up a few steps of the loft(阁楼)in Willy’s head, or hang out inside his nose. Although you have a full private bathroom in your quarters, there is also a toilet in the 12-foot-tall fire hydrant (消防栓)outside.

Gamirasu Cave Hotel

Where: Ayvali, Turkey

How much: Between $130 and $475 a night

Why it’s cool: This is caveman cool! Experience what it was like 5,000 years ago, when people lived in these mountain caves formed by volcanic ash. But your stay will be much more modern. Bathrooms and electricity provide what you expect from a modern hotel, and the white volcanic ash, called tufa, keeps the rooms cool, about 65℉in summer. (Don’t worry—there is heat in winter.)

小题1:What do we know about Tayka Hotel de Sal?

A.It is located on a prehistoric lake.

B.It should be protected against the rain.

C.Everything in the hotel is made of salt.

D.You have to cross a rope bridge to the hotel.小题2:What is the similarity of the four hotels?

A.Being expensive.

B.Being comfortable.

C.Being natural.

D.Being unique.小题3:What does the underlined part “Sweet Willy” refer to?

A. The name of the hotel.

B. The name of the hotel owner.

C. The building of Dog Bark Park Inn B&B.

D. The name of a pet dog of the hotel owner.

小题4:Which of the hotels makes you have a feeling of living in the far past?

A.Tayka Hotel De Sal

B.Green Magic Nature Resort

C.Dog Bark Park Inn B&B

D.Gamirasu Cave Hotel小题5:What may be the purpose of the writer writing the passage?

A.To show his wide knowledge

B.To introduce some interesting hotels

C.To develop business in tourism

D.To attract attention from the readers

名词解释