问题 多项选择题 案例分析题

患者男性,68岁,主因“左侧腰腹部疼痛10天,少尿1天”就诊。患者10天前无明显诱因出现左侧腰腹部绞痛,阵发性发作,无恶心、呕吐,伴尿频、尿急、尿痛,无肉眼血尿。近1天来少尿。既往双肾结石病史3年。查体:体温39.6℃,血压100/60mmHg(1mmHg=0.133kPa),神志清,精神差,腹平,无压痛、反跳痛、肌紧张,Murphy征阴性,肠鸣音正常,左肾区叩击痛阳性,左侧肋脊点、肋腰点压痛阳性,双侧输尿管压痛点压痛阴性。实验室检查,尿常规:白细胞(++++),红细胞(+)。血常规:白细胞20.4×109/L,血红蛋白128g/L。

目前考虑患者可能的诊断是()【提示】该患者完善了泌尿系统CT检查(图32),血肌酐306μmol/L。

A.急性肾功能不全

B.双肾结石

C.双输尿管结石

D.双肾积水

E.左输尿管肿瘤

F.泌尿系统感染

G.左肾结核

H.左肾周积液

答案

参考答案:A, B, C, D, F, H

单项选择题

阅读下面短文,掌握其大意,然后从16-35各题所给的A、B、C、D四个选项中,选春最佳选项。

The journey my daughter Cathy has had with her swimming is as long as it is beautiful.

Cathy suffered some terrible 16  in her early childhood. After years of regular treatment, she  17  became healthy.

Two years ago, while Cathy was watching the Olympics, a dream came into her sweet little head—to be a swimmer. Last summer, she wanted to  18  out local swim team. She practiced hard and finally  19  it. The team practice,  20  was a rough start. She coughed and choked and could hardly  21  her first few weeks. Hearing her coughing bitterly one night, I decided to  22  her from it all. But Cathy woke me up early next morning, wearing her swimsuit  23  to go! I told her she shouldn’t swim after a whole night’s coughing, but she refused to  24  and insisted she go .

From that day on, Cathy kept swimming and didn’t  25  a single practice. She had a  26  intention within herself to be the best she could be. My ten—year—old was growing and changing right before my eyes, into this 27  human being with a passion and a mission. There were moments of  28  of course: often she would be the last swimmer in the race. It was difficult for Cathy to accept that she wasn’t a  29  ---ever. But that didn’t stop her from trying.

Then came the final awards ceremony at the end of the year. Cathy didn’t expect any award but was still there to  30  her friends and praise their accomplishments. As the ceremony was nearing the end, I suddenly heard the head coach  31  , “The highest honor goes to Cathy!” Looking around, he continued, “Cathy has inspired us with her  32  and enthusiasm.  33  skills and talents bring great success, the most valuable asset(财富)one can hold is the heart.”

It was the greatest  34  of my daughter’s life. With all she hade been  35  in her ten years, this was the hour of true triumph(成功).

18()

A.improve

B.train

C.join

D.contact

单项选择题 A2型题