问题 多项选择题

患者女,51岁。2004年6月15日因"体检时胸片发现右下肺占位性病变2天"入院。入院后胸部CT示:右下肺占位性病变,周围型肺癌可能性大,不排除右下肺门淋巴结转移。纤维支气管镜见右肺下叶支气管开口处新生物,活检报告为"右下肺腺癌"。经完善术前检查后患者于2004年6月23日行右肺下叶切除术,术中探查发现肿瘤位于右肺下叶,大小约6cm×6cm×5cm,胸膜在肺表面有凹陷、皱缩,肺门淋巴结及纵隔淋巴结肿大并融合,右肺上、中、下三叶间裂完整。患者术后恢复良好,病理报告为:"右肺下叶中分化腺癌,肺门淋巴结(7/9枚)、纵隔淋巴结(1/7枚)癌转移,支气管旁淋巴结(5枚)及支气管残端未见癌组织"。患者术后于2004年7月19日~10月21日行辅助化疗4周期,2004年11月13日~12月22日行放疗50Gy/25F,放疗结束后患者在门诊随访。2006年2月17日因声嘶行胸部CT示:纵隔淋巴结增多、肿大,转移癌可能。遂于2006年2月20日~7月31日行化疗6周期,复查胸部CT示:纵隔未见肿大淋巴结,遂停止治疗,门诊随访。患者2007年5月7日复查胸部CT示:双肺多发小结节影,考虑转移可能。遂于2007年5月11日起行分子靶向治疗至今,期间复查胸部CT示:双肺病灶明显缩小。患者既往无吸烟史。

如果你是患者的主治医生,那么在2006年2月20日~7月31日间可以为患者选择的化疗方案有().

A.吉西他滨+顺铂

B.紫杉醇+顺铂

C.多烯他赛+顺铂

D.紫杉醇

E.多烯他赛

F.培美曲塞

答案

参考答案:E, F

阅读理解

阅读理解

       Germs(细菌 ) are everywhere. You can't see them, but they are on your desk,on your computer,

and even in the air !

       Like people,germs move around the world. They fly with us on planes. When food, clothes, and

other things travel around the world,germs travel,too. Some germs are safe,but some are dangerous.

Germs cause illnesses like colds and the flu.

Warmer Weather Brings Germs

       The world's weather is changing. Cooler countries are getting warmer, so insects from hot countries

can move there. Some of these insects,like mosquitoes,carry dangerous germs. These germs cause

headaches, fever, and can even kill people.

Under Your Skin

       Your skin protects you from germs. It stops some germs,but not all. They can enter your body when

you eat,or when you have a cut. Germs are on your hands, too. They enter your body when you touch

your eyes, nose , or  mouth.

Fighting Germs

       Your immune system(兔疫系统) protects you, too. When germs get inside your body,your immune

system finds and kills them. Special cells (细胞) move around your body and fight germs. They help you

stay healthy. Other cells make antibodies. Antibodies help your body

find and stop germs.

       What can you do to fight germs? You should wash your hands with soap and water. Soap kills many germs, and water washes them away.

1. According to the text,insects                  .

A. kill germs      

B. carry germs      

C. protect germs    

D.love germs

2. The underlined word "there" refers to                    .

A. cooler countries  

B. hot countries    

C. everywhere      

D. the world

3. Which of the following is RIGHT according to the text ?

A. All germs are dangerous.      

B. There are more germs in cold places.

C. Soap can kill all germs.      

D. Germs can get into your body.

4. What do antibodies do?

A. They kill germs and wash them away.    

B. They find and develop germs.

C. They help protect us from germs.        

D. They carry dangerous germs.

5. Which can be the best title for this text?

A. Germs Are Everywhere                

B. Weather Is Changing

C. Skin Stops Germs                    

D. Germs Are Developed

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