问题 问答题

简述地方性克汀病临床表现。

答案

参考答案:(1)智力低下:是主要症状。
轻者:能做简单运算,参加简单农业生产劳动,但劳动效率低下。
重者:生活不能自理,甚至达到白痴的程度。有的生活虽可自理,但运动障碍较明显,不能从事复杂的劳动,不会计数,不能适应社会生活。
(2)聋哑:是常见症状(尤其神经型患者),多为感觉神经性耳聋,同时伴有语言障碍。
(3)生长发育落后:①身材矮小:黏液水肿型患者明显,下肢相对较短,保持婴幼儿时期的不均匀性矮小。②婴幼儿生长发育落后:表现为囟门闭合延迟,骨龄明显落后。出牙、坐、站、走等延迟。③克汀病面容:表现为头大,额短;眼裂呈水平状,眼距宽;鼻粱下榻,鼻翼肥厚,鼻孔向前;唇厚、舌厚而大,常伸出口外,流涎等。④性发育落后:神经型主要表现为成熟晚,但大多数还可以结婚生育。粘液水肿型常表现为第二性征发育差,多数不能生育。
(4)神经系统症状(神经型患者表现明显):一般有下肢痉挛性瘫痪,肌张力增强,腱反射亢进,可出现病理反射及踝阵挛等。
(5)甲状腺功能低下症状(多见于粘液水肿型患者,神经型少见):皮肤干燥,弹性差,皮脂腺分泌减少;精神及行为改变,表现为反应迟钝,表情淡漠,嗜睡,对周围事物不感兴趣。
(6)甲状腺肿:一般神经型患者有甲状腺肿,黏液水肿型较少。

完形填空
Each of us makes mistakes from time to time. In fact, we can      a lot from our mistakes.
Donnie was a  _ student and never answered questions in class. He wasto make mistakes. He never finished his homework  _  he didn’t want to make any mistakes. Nothing changed  _ Marry Anne, a teacher, came to our. One morning, Marry Anne asked Donnie to _ _  some questions. After a while Donnie was in tears because he made a mistake.        Marry Anne got a box full of erasers from the desk.
“Look, Donnie,” she said standing      him. “I’ve got something to show you.” She  __ the erasers, one at a time, and put them on the desk. “See these erasers, Donnie?” she continued. “Do you know      the erasers become smaller and smaller? That’s because we make mistakes. But we erase the mistakes and try    . That’s what you must learn.”
“Here,” she said, “I’ll     one eraser on your desk, so you will remember that    may make mistakes.” Donnie looked at Marry Anne and smiled.
Donnie   a lot from then on. He knew that everyone had the permission(允许) to make mistakes as long as you learned them and tried again.
小题1:
A.takeB.makeC.getD.bring
小题2:
A.goodB.shyC.cleverD.small
小题3:
A.gladB.excitedC.surprisedD.afraid
小题4:
A.becauseB.soC.ifD.but
小题5:
A.afterB.whileC.untilD.when
小题6:
A.rowB.classC.teamD.classroom
小题7:
A.answerB.askC.giveD.have
小题8:
A.SuddenlyB.UnluckilyC.LuckilyD.Carefully
小题9:
A.onB.withC.besideD.to
小题10:
A.put outB.took awayC.took outD.took off
小题11:
A.whenB.howC.whatD.why
小题12:
A.moreB.againC.anotherD.one
小题13:
A.forgetB.carryC.leaveD.take
小题14:
A.nobodyB.somebodyC.no oneD.everybody
小题15:
A.changeB.gotC.learnedD.thought
多项选择题