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,那么可以为患者选择的辅助化疗方案有().

A.长春瑞滨+顺铂

B.吉西他滨+卡铂

C.紫杉醇+卡铂

D.多烯他赛+卡铂

E.CPT11+顺铂

F.吉西他滨+多烯他赛

答案

参考答案:A, B, C, D, F

单项选择题
单项选择题

Personality is to a large extent inherent. A-type parents usually (1) A-type offspring. But the environment must also have a profound effect (2) if competition is important to the parents, it is (3) to become a major factor in the lives of their children.

One place where children (4) A characteristics is school, which is, (5) its very nature, a highly competitive institution. Too many schools (6) the "win at all costs" moral standard and measure their success by sporting achievements. The current (7) for making children compete against their classmates or against the (8) produces a two-layer system, in which competitive A types seem in some way better than their B type fellows. Being too (9) to win can have dangerous consequences: remember that Pheidippides, the first marathon runner, (10) dead seconds after saying. "Rejoice, we conquer!"

(11) the worst form of competition in schools is the disproportionate emphasis on examinations. There is, for example, a (12) school that allows pupils to concentrate on those things they do well. The (13) of competition by examination are somewhat questionable, but competition in the certain (14) of failure is positively harmful.

(15) , it is neither practical nor desirable that all A youngsters change into B’s. The world needs types, and schools have an important duty to try to (16) a child’s personality to his possible future employment. It is top management.

If the preoccupation of schools with academic work was (17) , more time might be spent teaching children surer values. Perhaps selection (18) the caring professions, especially medicine, could be made less by good grades in chemistry and more by such (19) as sensitivity and sympathy. It is surely a mistake to choose our doctors exclusively from A type stock. B’s are important and should be (20) .

20()

A.appreciated

B.opted

C.adored

D.encouraged