问题 单项选择题

38岁女性,月经紊乱1年余,25~35天1次,每次9天左右,量无明显增加,无贫血,晨起触及下腹正中有一肿块而就诊,经检查发现盆腔肿物如孕2个月大小,质中硬、活动,无压痛,形状不规则。

可能的治疗方案是

A.定期追踪观察

B.开腹探查

C.雄激素治疗

D.雌激素治疗

E.子宫切除术

答案

参考答案:A

解析:[解题思路] 月经紊乱是子宫肌瘤的典型症状,常见体征为子宫增大、形状不规则、质硬、活动、无压痛。子宫肌瘤的手术指征为:①子宫大小如孕10周以上;②月经量多造成贫血;③明显的直肠或膀胱压迫症状;④宫颈肌瘤、阔韧带肌瘤;⑤短期内肌瘤迅速生长,不除外恶性变;⑥黏膜下肌瘤,症状、又希望生育者。该患者子宫仅8周大小。观察。有出血、感染;⑦单个肌瘤影响妊娠、伴有月经量不多,暂无手术指征,适于定期追踪。

问答题 简答题
阅读理解

Gardening can be a very relaxing hobby for many people and this wonderful experience is not just for adults. Children are interested in gardening as well, if given the chance to explore nature and science in this way. Gardening can bring joy to both children and their parents alike, especially when the experience is shared together.

The time that is spent gardening together builds precious memories within their hearts and minds for years to come. When you are gardening with your children, try to give them their own special area. Keep their area in the center of the best soil and light, as you want to make sure of a successful gardening experience.

Plastic tools easily break and are difficult to use in the dirt, so when you are gardening with your children, give them real tools to use if possible. Even offering to let them use your tools is a way to admit the worth of the work they are doing. It is also important to talk with your children about the whole process of gardening, from planting to the harvest. They need to understand how things work and the importance of what they are doing.

Show off the children’s gardening work by taking friends and visitors for a walking tour through the garden and point out the children’s particular spot. When you give attention to the children’s work, this is a great motivation(动机) for children to continue wanting to be involved. Do not force children to take part when they are in a bad mood or if they are becoming bored. Instead, allow them to do something different, like building a scarecrow(稻草人)! This makes the gardening experience even more interesting. As you work together side by side with your children, you will encourage a love of the land in them, as well as create lasting memories of time spent with you.

小题1:What is the text mainly about?

A.Teaching children how to garden.

B.Giving children the chance to show off

C.Helping children realize the importance of work.

D.Sharing the joy of gardening with children.小题2:Why should you introduce your children’s work to your friends?

A.It makes your friends believe your children are smart.

B.It helps you gain more confidence in your children.

C.It encourages children to continue doing such work.

D.It attracts your friends to take part in your gardening.小题3:What kind of people is the text mainly written for?

A.Children

B.Parents

C.Farmers

D.Teachers