患者，男性，56岁，主因消瘦、腹胀、食欲缺乏入院，病前曾有慢性肝病史。查体：皮肤、巩膜黄染，腹部膨隆，移动性浊音阳性，脾肋下可触及。
该患者首先要考虑的诊断是
A．原发性肝癌
B．肝硬化伴腹水
C．活动性肝病
D．肝脓肿
E．多囊肝
参考答案：B
解析：该患者有慢性肝病病史，现有消瘦、腹胀、食欲缺乏症状，体征有黄疸和腹水征，脾大，首先考虑为肝硬化伴腹水，可行肝穿刺活组织检查以确诊。
Mr. Evans lived in a city. He was a math __1__ three years ago. He taught well and his students __2__ him. So he decided to work in the middle school all his life. But a terrible accident __3__ his life. One spring he took his class to __4__ a place of interest. The children saw a lot of ___5__ things and had a good time there. But on their way to school, their __6__ was hit by a truck because the young driver was drunk. Five students __7__ and more than half the students were __8__ in the accident. He didn’t know how it had happened and was very __9__ it and after he came out of hospital, he left school and became a __10__. He tried his best to stop the drivers from breaking the traffic laws(交通规则). He worked hard and was strict with the drivers. So they were afraid of him. One afternoon it was very hot. Mr. Evans was __11__. He was standing at the crossing and watching the traffic. Suddenly he saw a car___12__ the crossing. It ran so fast that it almost hit a man __13__ a bike. He stopped it at once and saw a girl in it. “_14__ your license (执照) to me, Madam,” said Mr. Evans. The girl handed her bag to him and said, “Please look for it in the bag __15__. I can’t see anything without glasses.”
|