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问题 单项选择题

女，32岁，已婚未孕，妇科检查发现子宫增大如孕12周，B超提示子宫前壁壁间单发肌瘤8cm×7cm×7cm，双附件未发现异常。最佳治疗方法是（）

A.GnRH-a治疗

B.全子宫切除术

C.次全子宫切除术

D.子宫肌瘤切除术

E.严密随访观察

答案

参考答案：D

解析：子宫肌瘤的手术指征：①肌瘤子宫≥2%月（10周妊娠大小），或单发肌{瘤直径≥6cm者；②继发贫血经保守治疗无效，特别是黏膜下肌瘤者，纠正贫血后手术治疗；③出现膀胱和（或）直肠压迫症状，如尿频、尿潴留、大便困难等；④肌瘤生长较快（每年体积生长>6周），疑恶变者；⑤肌瘤导致反复流产和不孕者；⑥宫颈或阔韧带肌瘤。手术方式：①肌瘤切除术适用于年轻要求保留子宫者，围绝经期仍要求保留子宫者。②子宫切除术肌瘤较大、数目较多，症状明显，不需保留生育功能者。关于卵巢保留：50岁以下或未绝经者，卵巢外观正常，应保留附件。

填空题
将函数y=(
1
4
)x+1的图象向右平移2个单位且向上平移1个单位的函数y=g（x）的图象，则g（x）=______．
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单项选择题

A few years ago I had an "aha!" moment regarding handwriting.
I had in my hand a sheet of paper with handwritten instructions on it for some sort of editorial task. It occurred at first that I did not recognize the handwriting, and then I realized whose it must be. I finally became aware of the fact that I had been working with this colleague for at least a year, maybe two, and yet I did not recognize her handwriting at that point.
It was a very important event in the computerization of life—a sign that the informal. Friendly communication of people working together in an office had changed from notes in pen to instant messages and emails. There was a time when our workdays were filled with little letters, and we recognized one another’s handwriting the way we knew voices or faces.
As a child visiting my father’s office, I was pleased to recognize, in little notes on the desks of his staff, the same handwriting I would see at home in the notes he would leave on the fridge—except that those notes were signed "dad" instead of "RFW".
All this has been on my mind because of the talk about The Rise and Fall of Handwriting, a book by Florey. Sire shows in her book a deep concern about the fall of handwriting and the failure of schools to teach children to write well, but many others argue that people in a digital age can’t be expected to learn to hold a pen.
I don’t buy it. I don’t want to see anyone cut off from the expressive, personal associations that a pen still promotes better than a digital keyboard does. For many a biographer, part of really getting to know their subjects is learning to read their handwriting.
What some people advocate is teaching one of the many attractive handwritings based on the handwriting of 16th century Italy. That may sound impossibly grand—as if they want kids to learn to draw by copying classical paintings. However, they have worked in many school systems.

People working together in an office used to ______.

A．talk more about handwriting
B．take more notes on workdays
C．know better one another’s handwriting
D．communicate better with one another
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