问题 多项选择题 案例分析题

患者男,54岁,工人,因“乏力、腹胀1周”来诊。反复肝功能异常7年。肝炎病史及家族史不详。查体:慢性肝病面容,可见肝掌、蜘蛛痣,皮肤、巩膜无黄染;心、肺无异常;腹稍膨隆,轻度腹壁静脉曲张,肝肋下未及,脾肋下2cm,移动性浊音(-)。实验室检查:血WBC3.5×109/L,PLT70×109/L;PT13s;ALT45U/L,AST46U/L,TBil30μmol/L,Alb32g/L,Glob35g/L;HBsAg(+),HBeAb(+),HBcAb(+),HBV-DNA2.5×104copies/ml。腹部B型超声:结节性肝硬化,脾大。肝活检:G2S4。

该患者抗病毒治疗的最终目标是()

A.最大限度地长期抑制或消除HBV

B.达到停药标准

C.使ALT保持正常

D.延缓和阻止肝疾病的进展

E.HBeAg血清学转换

F.减少和防止肝功能失代偿、肝硬化、肝细胞癌及其并发症的发生

G.改善生活质量和延长存活时间

H.减轻肝细胞炎症坏死及肝纤维化

答案

参考答案:A, D, F, G, H

单项选择题

Attempts to understand the relationship between social behavior and health have their origin in history. Dubos (1969) suggested that primitive humans were closer to the animals (1) they, too, relied’upon their instincts to stay healthy. Yet some primitive humans (2) a cause and effect relationship between doing certain things and alleviating (3) of a disease or (4) the condition of a wound. (5) there was so much that primitive humans did not (6) the functioning of the body, magic became an integral component ofthe beliefs about the causes and cures of heath (7) Therefore it is not (8) that early humans thought that illness was caused (9) evil spirit. Primitive medicines made from vegetables or animals were invariably used in combination with some form of ritual to (10) harmful spirit from a diseased body.

One of the. earliest (11) in the Western world to formulate principles of health care based upon rational thought and (12) of supernatural phenomena is found in the work of the Greek physician Hippocrates. The writing (13) to him has provided a number of principles underiying modern medical practice. One of his most famous (14) , the Hippocratic Oath, is the foundation of contemporary medical ethics.

Hippocrates also argued that medical knowledge should be derived from a (15) of the natural science and the logic of cause and effect relationships. In this (16) thesis, On Air, Water, and Places, Hippocrates pointed out that human well-being is (17) by the totality of environmental (18) : living habits or lifestyle, climate, geography of the land, and the quality of air, and food. (19) enough, concerns about our health and the quality of air, water, and places are (20) very much written in twentieth century.

14()

A.attractions

B.subscriptions

C.contributions

D.functions

单项选择题