问题 单项选择题

有关胃、十二指肠溃疡急性穿孔,错误的是

A.发病率男高于女
B.多发生于胃、十二指肠的前壁
C.既往80%~90%有溃疡病症状
D.70%~80%病人膈下可见游离气体
E.确诊后应立即行胃大部切除术

答案

参考答案:E

解析: 胃、十二指肠溃疡外科治疗的适应证包括:①有多年的溃疡病史,症状有逐渐加重的趋势,发作频繁,持续时间较长,影响身体营养和正常生活;②内科治疗无效或愈合后复发,或经X线钡餐检查溃疡龛影较大、球部变形较严重、穿透到十二指肠壁外或球后溃疡;③出现严重并发症急性穿孔、大出血、瘢痕性幽门梗阻、溃疡不能除外、恶变或已经恶变者;④胃溃疡手术适应证比十二指肠溃疡要宽些。故答案应选E。

多项选择题
阅读理解

As I write this, I have half an eye on an old James Bond film that is showing on my computer. But this is a story about how I stopped watching TV and began reading again for pleasure, after ten years in which I hardly turned a page.

I suppose I was an enthusiastic reader of "literature" between the ages of nine and fourteen. I had enough time to be White Fang, Robinson Crusoe, and Bilbo Baggins and Jeeves. Of course there was room in the schoolboy's imagination for some real historical figures: Scott of the Antarctic, all of the Vikings, and Benjamin Franklin were good friends of mine.

Then, in adolescence, I began a long search for strange and radical (激进的) ideas. I wanted to challenge my elders and betters, and shock my fellow students with amazing points of view. Of course, the only place to look was in books. I hunted out the longest titles and the authors with the funniest names; I searched the library for completely unread books. Then I found one which became my bible for the whole of 1982, it had a title composed of eleven long words and an author whose name I didn't know how to pronounce. It was really thick and looked dead serious. Even better, it put forward a whole world-view that would take days to explain. Perfect. I took it out of the library three times, proud to see the date-stamps lined up on the empty library insert.

Later, I went to university. Expecting to spend long evenings in learned discussion with clever people, I started reading philosophy. For some reason I never found the deep-thinking intellectuals I hoped to meet. Anyway, I was ready to impress with my profound (深奥的) knowledge of post-structuralism, existentialism and situationism. These things are usually explained in rather short books, but they take a long time to get through. They were the end of my youthful reading.

Working life was hard to get used to after so much theory. It was the end of books for me. There didn't seem to be much in books that would actually get things done. To do things you had to answer the telephone and work a computer. You had to travel about and speak to people who weren't at all interested in philosophy. I didn't stop reading, you can't avoid that. I read all day. But no books came my way, only manuals (操作手册) and contracts and documents. Maybe most people satisfy their need for stories and ideas with TV and, to tell the truth, it was all I needed for ten years. In those days I only had a book "on the go" for the duration of aeroplane flights. At first I would come home and watch TV over dinner. Then, I moved the TV so I could watch it from bed. I even got a switch so I could turn it off without getting out of bed. Then, one fateful day, my TV broke and my landlady took it away.

My new TV is an extra circuit board (电路板) inside my computer. It's on a desk in front of a working chair and I can't see it from the bed. I still use it for the weather forecasts and it's nice to have it on while I'm typing this… but what to do last thing at night? Well, have another go with books.

Now, I just like books. I have a pile of nice ones by my bed and I'm reading about six at the same time. I don't want to be any of the characters. I don't care if a thousand people have already read them. I don't have to search through libraries. There are books everywhere and all of them have something to read in them. I have the strange feeling that they've been there all along, waiting for me to pick them up.

小题1:The writer enjoyed reading “literature” between the ages of nine and fourteen because ________.

A.he thought it was important for a schoolboy to do so

B.he was still too young to understand other books

C.he believed all the real historical figures were his friends

D.he could imagine himself being the characters in the books小题2:“Existentialism” (in paragraph 4) is probably ________.

A.a library intended for teenagers

B.a kind of books on traditions

C.a philosophy theory

D.a kind of reading skill小题3:The main reason the writer stopped reading books was that ________.

A.he found watching TV was more interesting

B.he became too busy to read any books

C.he found books were of little use to his work

D.he had to read a lot of manuals, contracts and documents小题4:Now the writer starts to read books again ________.

A.to find back his youth in books

B.for the pure pleasure of reading

C.so as to help kill his spare time

D.for only business purposes小题5:Which of the following is the best title of the passage?

A.The Years with Books

B.Books and TV Programs

C.Don’t Judge a Book by Its Cover

D.Reading Makes One Excellent