问题 多项选择题

病例摘要:患者,女性,62岁,纳差,黄疸2个月,伴恶心、呕吐,呕吐物为胃内容物,尿色加深,大便次数增加2~3次/天,稀烂,无黏液。查体:T37.6℃,BP140/85mmHg,P84/分,右下腹可扪及一包块,较软,随呼吸上下活动,无压痛,肝肋下3cm,质尚软,脾未扪及,肝功能黄疸指数22μmol/L,SGPT195U/L。在当地医院予以护肝、抗炎、利肝等治疗,SGPT降至55U/L,黄疸指数仍上升,转来就诊。

患者B超提示胆道肿物,术中发现胆总管下端壶腹部有一肿物,大小3cm×3.5cm,冰冻切片证实管状腺癌,肿物未侵及门静脉、腔静脉、肠系膜上动脉。应考虑何种手术()

A.胰腺全切除术

B.胆囊十二指肠吻合术

C.胰十二指肠切除术

D.胃空肠吻合术

E.胆囊胃吻合术

F.空肠、胆总管吻合术

答案

参考答案:B, C, E, F

选择题
填空题

B The Beatles甲壳虫乐队
The English rock music group The Beatles gave the 1960s its characteristic musical flavor and (1) a profound influence on the course of popular music, equaled by (2) performers. The guitarists John Winston Lennon, James Paul McCartney, and George Harrison; and the drummer Ringo Starr, were all born and (3) in Liverpool. Lennon and McCartney had played together in a group called The Quarrymen. With Harrison, (4) formed their own group, The Silver Beatles, in 1959, and Starr joined them in 1962. As (5) Beatles, they developed a local following in Liverpool clubs, and their first recordings, "Love Me Do" (1962) and "Please Please Me" (1963), quickly made them Britain’s top rock group. Their early music was (6) by the American rock singers Chuck Berry and Elvis Presley, but they infused a hackneyed musical (7) with freshness, vitality, and wit.
The release of "I Want to Hold Your Hand" in 1964 (8) the beginning of the phenomenon known as"Beatlemania" in the United States. The Beatle’s first US (9) aroused a universal mob adulation. Their concerts were scenes of mass worship, and their records sold (10) the millions. Their first film, the innovative A Hard Day’s Night(1964), was received enthusiastically (11) a wide audience that included many who had never before listened to rock music.
Composing their own (12) , The Beatles established the precedent for other rock groups to play their own music.Experimenting with (13) musical forms, they produced an extraordinary (14) of songs: the childishly simple "Yellow Submarine" ; the bitter social commentary of "Eleanor Rigby" ; parodies of earlier pop styles; new electronic sounds; and compositions that were scored for cellos, violins, trumpets, and sitars, as well as for conventional guitars and drums. The (15) disbanded in 1970, after the release of their final album, Let It Be, and during the 1970s (16) individual careers, On dec.8, 1980, John Lennon (17) fatally shot outside his Manhattan apartment by Mark Chapman, a 25-year-old former mental (18) who, earlier that same day, had asked Lennon for his (19) . Lennon’s murder was universally (20) with an intensity of feeling usually inspired only by political and spiritual leaders.