女性，67岁，间歇性无痛肉眼血尿6个月。体检：左肾肿大实质感。I_爱下问搜题

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问题单项选择题

女性，67岁，间歇性无痛肉眼血尿6个月。体检：左肾肿大实质感。IVP：左肾影增大似新生儿头大小，肾盂肾盏未显示。膀胱镜检查：左输尿管口附近有2个黄豆大小 * * 状肿瘤，活组织检查报告为移行上皮癌。膀胱双合诊：膀胱壁正常，能触及左输尿管末端增粗变硬。可能的诊断是

A．膀胱原位癌
B．直肠癌累及膀胱
C．膀胱浸润癌累及左输尿管
D．左肾盂癌并发左输尿管癌及膀胱癌
E．以上都不是

答案

参考答案：D

完形填空

My mother often asked me, “what is the most important part of the body?” Through the years I would guess at 46 I thought was the correct answer. When I was younger, I thought sound was very important to us as humans, so I said, “My   47 , Mommy.” She said, “No. Many people are deaf. But you   48 thinking about it and I will ask you again soon.”
Then last year, my Grandpa   49 . Everybody was hurt. Everybody was crying. My Mom looked at me when it was our   50  to say our final goodbye to grandpa. She asked me, “Do you know the most important body part yet, my dear?” I was shocked   51  she asked me this now. I always thought this was a game between her and me. She saw the confusion(迷惑) on my face and told me, “This   52  is very important. It shows that you have   53  lived your life”. I saw her eyes well up with tears. She said, “My dear, the most important body part is your shoulder.” I asked, “Is it because it holds up your head?”
She replied, “No, it is because it can hold the head of a friend or loved one when they   54. Everybody needs a shoulder to cry on sometime in life, my dear. I only hope that you have enough love and 55  that you will have a shoulder to cry on when you need it.”

单项选择题

在休克监测中，哪项观察结果表示预后极差甚至死亡率可达100% ( )

A．中心静脉压低于0.49kPa
B．肺动脉压超过4.0kPa
C．乳酸盐浓度超过8mmol/L
D．动脉二氧化碳分压高于5.33kPa
E．血小板计数低于8.0×10⁹/L