问题 单项选择题

老年男性,KUB+IVP示一侧肾结石,双侧输尿管上段结石,伴双肾积水,肾功能正常。治疗原则是

A.一次手术取出同侧肾结石输尿管结石

B.单侧输尿管切开取石

C.先取肾结石(+)肾造瘘

D.一次手术取出双侧结石

E.药物

答案

参考答案:B

解析:双侧上尿路结石的治疗,原则上首先处理梗阻较重、肾功能易于恢复及较易处理结石的一侧,对于双侧输尿管结石,一侧肾结石的就先单侧输尿管切开取石,解除一侧梗阻后再作另侧手术。

填空题
单项选择题

It is incongruous that the number of British institutions offering MBA courses should have grown by 254 percent during a period when the economy has been sliding into deeper recession. Optimists, or those given to speed, assumptions, might think it marvelous to have such a resource of business school graduates ready for the recovery. Unfortunately, there is now much doubt about the value of the degree not least among MBA graduates themselves, suffering as they are from the effects of recession and facing the prospect of shrinking management structures.

What was taken some years ago as a ticket of certain admission to success is now being exposed to the scrutiny of cost-conscious employers who seek "can-dos" rather than "might-dos", and who feel that academia bas not been sufficiently appreciative of the needs of industry or of the employers’ possible contribution.

It is curious, given the name of the degree, that there should be no league table for UK business schools; no unanimity about what the degree should encompass; and no agreed system of accreditation. Su rely there is something wrong. One wonders where all the tutors for this massive infusion of business expertise came from and why all this mushrooming took place.

Perhaps companies that made large investments would have been wiser to invest in already existing managers, perched anxiously on their own internal ladders The Institute of Management’s 1992 survey, which revealed that eighty-one per cent of managers thought they personally would be more effective if they received more training, suggests that this might be the case. There is, too, the fact that training alone does not make successful managers. They need the inherent qualifications. Of character; a degree of self-subjugation; and above all, the ability to communicate and lead; more so now, when empowerment is a buzzword that is at least generating genuflexions, if not total conviction.

One can easily think of people, some comparatively unlettered, who are not lauded captains of industry. We may, therefore, not need to be too concerned about the fall in applications for business school places, or even the doubt about MBAs. The proliferation and subsequent questioning may have been an inevitable evolution. If the Management Charter Initiative, now exploring the introduction of a senior management qualification, is successful, there will be a powerful corrective.

We believe now that management is all about change. One hopes there will be some of that in relationship between management and science within industry, currently causing concern and which is overdue for attention. No-one doubts that we need more scientists and innovation to give us an edge in an increasingly competitive world. If scientists feel themselves undervalued and under-used, working in industrial ghettos, that is not a promising augury for the future. It seems we have to resolve these misapprehensions between science and. industry. Above all, we have to make sure that management is not itself smug about its status and that it does not issue mission statements about communication without realizing that the essence of it is a dialogue. More empowerment is required and we should strive to achieve it.

According to the passage, employers()

A. feel that they have not been consulted sufficiently about their needs

B. consider that cost-consciousness is the most important qualification

C. are more concerned about the value of the degree than graduates themselves

D. feel that MBAs will not be necessary because of shrinking management structures