| 男性，60岁，双下肢无力半年，右腿明显，近2个月行走不稳，右手不能扣纽扣，无外伤史，无发热。体格检查，颈背部无明显压痛，两上肢前臂、手及上臂尺侧皮肤感觉均减退，右侧尤其明显，四肢肌张力增高，肱二头肌反射亢进，双侧膝躁反射亢进，右髌阵挛阳性，右巴宾斯基征阳性。 |
应考虑的治疗是
A．颈枕吊带牵引
B．激素治疗
C．痛点局封
D．手术
E．颈托围领
参考答案：D
解析：颈椎间盘突出引起的脊髓型颈椎病，当已经出现肌张力高等阳性体征，因脊髓受压过久会不可逆转，应早期手术。
| 完形填空。 | ||||
| I like science very much. I want to be a 1 when I'm older. But I don't know how to become one. There 2 one special answer for everyone, but I can tell you some ideas. Start with something from the world 3 you, and you can learn about it and understand it. Here are some suggestions (建议). How about birds? Ask your mum or dad if you can 4 a cage. Then try to find someone who may 5 the birds and can teach you about the birds. How about numbers? You may think that maths is 6 . But you will be surprised if you start doing puzzles and games with them. 7 can be fun. How about stars? 8 someone among your friends who can help you pick out stars and groups of stars. There are lots of ideas 9 these. They will be fun and teach you things. You will soon learn these things from nature. 10 are not science. They only help you understand it. | ||||
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