问题 单项选择题

()是指为了病人的利益,医师可以代替或帮助病人及其家属做出治疗上的决定。

A.医师的诊治权

B.医师的特殊干涉权

C.医师有获得正当经济报酬的权利

D.医师有受到尊重和享受礼貌待遇的权利

答案

参考答案:B

问答题


病史病人,男性,53岁,高中文化,现职为公务员。有乙肝病史十多年。因乏力、纳差近1年,症状加重伴腹胀、少尿及双下肢浮肿2个月余而前来医院就诊。起病以来,自觉皮肤干燥、粗糙;每于进食稍油腻的食物后,发生腹泻;无呕血、黑便;睡眠尚可。已婚。育有一子,配偶及儿子均体健,家庭关系融洽,经济状况良好,个性开朗、豁达。病人及家属对所患疾病的有关知识了解较少。
身体评估体温37℃,脉搏92次/分,呼吸26次/分,血压117/80mmHg,身高 174cm,体重64kg。神清合作,反应性及定向力好。活动稍受限,尚可平卧。慢性肝病面容,体形消瘦。全身皮肤干燥、粗糙,皮肤和巩膜轻度黄染,颈部及前胸部可见数个蜘蛛痣,肝掌征阳性。双肺呼吸音清;心率92次/分,律齐。腹部膨隆呈蛙状,未见脐疝,腹围; 105cm,阴囊水肿,腹壁皮肤紧张,无压痛及反跳痛,肝脾触诊不满意,移动性浊音(+),肠鸣音正常。双下肢水肿(++)。
实验室及其他检查血常规:血红蛋白89g/L,红细胞3.6×1012/L,白细胞4.6×109/L,血小板160×109/L。尿常规:尿蛋白(-),尿胆原(±),尿胆素(+)。大便常规:隐血试验(-)。肝功能检查:ALT56U/L,清蛋白21.4g/L,清蛋白/球蛋白0.8。肾功能检查:血尿素氮8mmol/L。胃镜检查:①食管下段静脉曲张(轻度);②门脉高压性胃病(中度)。
请分析:

该病例的医疗诊断是什么

阅读理解

阅读理解。

     Three more cattle farms in Andong,North Gyeongsang Province,were found to have been infected

with the deadly foot-and-mouth disease,Nov. 2 2010,Thursday. People fear that livestock farms in other

parts of the country could be hit by the virus soon.

     On Monday,the disease was first detected on two pig farms in Andong,about half a year after the last

disease broke out in Korea. A cattle farm in the area also fell victim to the animal disease the following

day.  

The Ministry for Food,Agriculture,Forestry and Fisheries made sure that three more cases of

foot-and-mouth disease appeared on Thursday and decided to kill all the animals at the farms and others

at nearby places to stop the spread of the virus to other regions. Over 800 cows and pigs within a 500

meter range of the infected farms were killed and buried underground.  

     "Three suspected cases were reported Wednesday,near the pig farms where the first outbreak was

reported. The laboratory tests today showed that all three cattle farms were infected with the disease,"

a ministry official said. Two newly infected cattle farms were less than 4 kilometers away from the two

pig farms,while the third one was only 2. 5 kilometers away.  

     The ministry also said another cattle farm in Andong reported suspected cases of foot-and-mouth

disease on its livestock Thursday,indicating the disease will likely continue to spread across the city and

possibly beyond.  

     The government has culled more than 33,000 animals near the affected farms Monday alone under its

disease prevention program. Additionally,all 84 livestock markets across the nation were closed

Wednesday for a period to prevent spread of the disease.

     No suspected cases have been reported outside of Andong,but the government Thursday decided to

destroy an additional 22,000 pigs at two farms in Boryeong,South Chungcheong Province.

1. Last time foot and mouth disease          .

A. broke out in North cattle farms

B. was controlled as soon as possible

C. happened in June,2010

D. destroyed almost all cattle in cattle farms

2. How did the government deal with the disease?

A. The government controlled only the two farms.

B. The government had more animals killed.

C. The government tried to cure the sick animals.

D. The government hated to kill animals.

3. The underlined word "culled" has the same meaning as          .

A. treated

B. killed

C. bought

D. sold

4. From the last paragraph we can know that          .

A. 22,000 pigs have been infected with the disease

B. 22,000 pigs will be moved to other farms

C. Boryeong is also an infected area

D. 22,000 pigs will go down to their death

5. In which part of a newspaper can you most probably read the passage?

A. Today's News  

B. History and Culture

C. Entertainment

D. Science