问题 问答题 简答题

简述子宫肌瘤的鉴别诊断。

答案

参考答案:

(1)妊娠子宫:妊娠有停经史,早孕反应,子宫随停经月份增大变软,借助尿或血HCG测定、B超检查多可明确。

(2)卵巢肿瘤:多无月经改变,肿物位于子宫一侧,借助B超、腹腔镜等检查多可明确。

(3)子宫腺肌病:可表现为月经增多,子宫增大,但常有继发性渐进性痛经史,子宫多均匀增大,很少超过3个月妊娠大小,质硬有压痛。B超有助于诊断,病理检查可明确。

(4)子宫恶性肿瘤

①子宫肉瘤:好发于老年妇女,生长迅速,活组织检查有助于鉴别。

②子宫内膜癌:好发于老年妇女,主要表现为绝经后 * * 流血,子宫呈均匀增大或正常,质软。分段诊刮有助于鉴别。

③宫颈癌:有不规则 * * 流血、接触性出血等表现。可借助B超、宫颈细胞学刮片检查、宫颈活检等鉴别。

阅读理解

阅读理解。

     Linda used to wake you up on Sunday morning when you wanted to stay in bed, but now you will feel

strange if she gets up before lunch. She used to be very quiet, but now she talks all the time-but not to you.

She used to hold your hand when you went to visit your friends. Now she doesn't even want to be seen

with you when you go to visit your friends. Your Linda might spend hours on the phone or in the bathroom

now. At the same time John next the door has become quiet and dirty. He used to be very polite. Now a

simple conversation with John becomes very difficult. You've gone from heroes to the most embarrassing

adults in the world. Your child has become a teenager!

     What makes adolescence (青春期) so difficult? Physical and emotional (身体上和情感上的) changes

are the reasons that make them change so much. When the> are young, children live in a safe and simple

land called"childhood". Parents organize their lives. Parents choose children's clothes, take them to places,

and spend time with them. They're with the children when there is a problem. As children get older, however,

they learn about another land-an exciting land, called"adulthood". Sooner or later their hormones (荷尔蒙!)

change them. Adolescence, then, is the trip from childhood to adulthood. Some find the trip quite easy.

For others, it's very difficult.

1. The article is probably written about _________.

A. teachers

B. teenagers

C. parents

2. When Linda was a child, she didn't use to _________.

A. stay with her parents in public

B. get up early

C. spend hours on the phone

3. When your children get older and older, _________.

A. they like to talk to you

B. they hardly change

C. they change physically and emotionally

4. Why is Linda's adolescence so different from her childhood?

A. Because her teachers look at her differently.

B. Because the hormone in her body changes her.

C. Because parents look at her differently.

5. What is the best title for the passage?

A. The Changes from Childhood to Adolescence.

B. Linda and John.

C. Hormones.

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