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_爱下问搜题

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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 A1型题

轮状病毒性肠炎的发病机制为（）

A.通过cAMP的作用使肠液中Na⁺，Cl^-分泌明显增加

B.病毒颗粒侵入肠黏膜，引起广泛的充血，水肿，炎症细胞浸润

C.致使病变肠黏膜双糖酶活性明显降低

D.通过cAMP的作用，使小肠分泌增加，导致水样腹泻

E.抑制小肠上皮细胞对钠的转运

填空题

Blair Admits Never Having Sent Flowers to His Wife

British Prime Minister Tony Blair admitted on a television programme that he has never sent flowers to his wife Cherie and that he had a youthful crush on Hollywood beauty Grace Kelly.
Blair, who allowed Channel 4 interviewer June Sarpong to shadow him for two days last month, made other personal (1) when asked questions he rarely hears on the usual television political (2) .
During the interviews for a program targeting 18-30 year (3) , the prime minister admitted he sometimes has to "wing it" when (4) public appearances and that he yearns to go out for a drink (5) being recognised.
However, the most dramatic revelation was his reply to Sarpong’s (6) on whether he still sends his wife flowers, prompting his interviewer to (7) in disbelief. "I’ve never sent her flowers. If I sent her flowers, she would (8) worried," Blair said.
But he added: "I am romantic. There are other ways of (9) romantic."
Blair needed a few moments to recall which posters he had (10) his bedroom wall as a youngster, then revealed: "I’ll tell you... actually, (11) I was younger, I loved Grace Kelly."
Born in 1929, Kelly (12) in films like ’Dial M For Murder’, ’Rear Window’ and ’High Society’ in the mid-1950s, but (13) acting to marry Prince Rainier of Monaco in 1956, when Blair was (14) two years old.
Blair admitted he initially found it "odd" to be (15) minister and to be rushed in motorcades from appointment to (16) , and worried that his lifesty left him "a bit isolated" from (17) people.
He admitted that he was constantly on the phone between public (18) , and rarely had time to prepare for his next (19) , telling Sarpong: "I wing it all the time."
And he revealed he has to check himself before he replies to (20) questions from the public. "The worst thing is when someone is giving you a real earful and you think ’I’m going to say something I will regret’," he said.
Asked what he would do if he could be invisible for a day, Blair yearned for a more ordinary life, saying he would "just walk down the street and go to the pub... just be absolutely normal".