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患者男，60岁。因进行性吞咽困难4个月就诊入院，经食管镜检查示食管中段6cm长之管腔狭窄，黏膜中断，病检报告为鳞癌Ⅱ级。体查锁骨上无肿大淋巴结，无声嘶。

手术治疗时食管重建的术式应选择（）

A.主动脉弓上食管胃吻合术

B.主动脉弓下食管胃吻合术

C.空肠代食管术

D.结肠代食管术

E.食管胃转流吻合术

F.以上均可

答案

参考答案：A

完形填空

第四部分：写作（共两节，满分125分）

双向翻译（共5小题；每小题2分，满分10分）

请根据上下文内容，将文中划线部分译成汉语或者英语，并将答案转写到答题卡上。

If you love books, then Three Cups of Tea: One Man’s Journey to Change the World, One Child at a Time will be your favorite. This book will take you on an adventure to one of thehighest mountains in the world. 61 You will learn how the people who lived there survivedand how author Greg Mortenson helped build an education system.

While climbing K2 in Pakistan, author Greg Mortenson became ill and got lost. He got help in a small village named Korphe. 62 The people of the village took good care of him, feeding him and letting him sleep in the village chief’s house. They also gave him one of their most rare treats: sweet tea.

As Mortenson recovered from his illness, he noticed that the children of the village worked and went to school outdoors. 63 Their teacher came only three times a week and they didn’t have blackboards. They used sticks to write on the ground.

The day he left the village, 64 他许诺回来建一所学校. His school would allow both boys and girls to attend. He kept his promise and helped found a school with a building and supplies so the kids could study indoors with real writing tools.

65 那是在一九九三年. Today Mortenson is responsible for building 80 schools in Central Asia. He has helped more than 18,000 girls receive an education so far.
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单项选择题

患者女性，32岁。反复胸闷气急，咳嗽，查体：心界稍大，心率100次/分，律齐，S1增强，P2亢进，可闻及开瓣音，心尖部可闻及舒张中晚期隆隆样杂音。既往有“游走性关节炎”病史。

该患者可能的诊断是

A．风湿性心脏病二尖瓣狭窄

B．风湿性心脏病二尖瓣关闭不全

C．风湿性心脏病主动脉瓣狭窄

D．风湿性心脏病主动脉瓣关闭不全

E．风湿性心脏病二尖瓣狭窄伴关闭不全
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