问题 问答题 简答题

用放射性131I治疗Graves病的适应证和禁忌证有哪些?

答案

参考答案:

适应证:①中度的Graves病,年龄在25岁以上;②对抗甲状腺药物过敏或有严重副作用;③长期用抗甲状腺药物治疗而多次复发;④有较严重的心、肝、肾等疾病而不宜采用手术治疗,或术后复发,或不愿接受手术治疗者;⑤小的高功能性结节伴甲亢。

禁忌证:①妊娠哺乳妇女;②年龄在25岁以下;③有心、肝、肾功能衰竭者;④活动性肺结核;⑤白细胞总数低于3×10^9/L者;⑥重度浸润性突眼;⑦重度胸骨后甲状腺肿;⑧危象或轻度甲亢;⑨以往用过碘剂而甲状腺不摄131I者。

单项选择题
阅读理解

阅读(共两节,15小题;每小题2分,满分30分)

第一节:阅读理解。阅读下列短文,从每题所给的四个选项中,选出最佳选项。

A

This is a true story from Guyana. One day, a boy took a piece of paper from a box. He made a paper ball and pushed it into his nose. He couldn’t get it out. He ran crying to his mother. His mother couldn’t get the paper out, either. A week later, the paper was still in the boy’s nose. His nose began to have a bad smell.

So his mother took the boy to a hospital. The doctor looked up at the child’s nose, but she couldn’t get the paper out. She said she had to cut the boy’s nose to get the paper out.

The boy’s mother came home looking sad. She didn’t want her child to have his nose cut. The next day she took the boy to her friend Sidney who lived in a house with an old lady called May. May wanted to see the child, so the child let her look up his nose.

“Yes, I can see it,” May said. “It will be out soon.”

As she spoke, she shook some black pepper on the child’s nose. The child gave a mighty sneeze and the paper flew out. His mother was surprised. May told his mother to take the boy to the seaside for a swim, for the salt water would go up his nose and stop the bad smell.

So the lucky boy didn’t have to go to the hospital to have his nose cut.

41. After the boy pushed a paper ball into his nose, ____.

A. he took it out                B. his mother took it out

C. he did nothing but cry         D. he tried to take it out but failed

42. The paper ball stayed in the boy’s nose for ____.

A. at most seven days             B. less than seven days

C. more than seven days           D. exactly seven days

43. According to the story, _____ was most worried about the boy’s accident.

A. the boy’s mother     B. Sidney       C. May       D. the doctor

44. Which of the following is TRUE?

A. The doctor helped to take the paper ball out of the boy’s nose.

B. May succeeded in taking the paper out.

C. The boy’s mother found some black pepper to solve the problem.

D. The boy had to have his nose cut at last.

45. The boy should be taken to the seaside for a swim because ____.

A. he needed to learn to swim

B. the sea water would stop the bad smell of his nose.

C. the sea water would wash out the paper ball.

D. he needed a rest