问题
单项选择题 A1/A2型题
男性,50岁。中上腹部疼痛伴腹胀、嗳气10年,消瘦3个月。胃镜检查发现胃窦部有一2.5cm大小的溃疡灶,活检病理报告轻度不典型增生。根据患者情况,治疗宜采取()
A.迷走神经切断术
B.胃大部切除术
C.西咪替丁治疗
D.甲溴阿托品治疗
E.以上都不是
答案
参考答案:B
解析:慢性溃疡反复发作,直径>2.0cm的胃溃疡应考虑手术治疗,手术以胃大部切除为宜。
男性,50岁。中上腹部疼痛伴腹胀、嗳气10年,消瘦3个月。胃镜检查发现胃窦部有一2.5cm大小的溃疡灶,活检病理报告轻度不典型增生。根据患者情况,治疗宜采取()
A.迷走神经切断术
B.胃大部切除术
C.西咪替丁治疗
D.甲溴阿托品治疗
E.以上都不是
参考答案:B
解析:慢性溃疡反复发作,直径>2.0cm的胃溃疡应考虑手术治疗,手术以胃大部切除为宜。
Mondays are usually pretty busy for me. On one of these Mondays, I got ready to go to work thinking about all the things I had to on that day and walked down to get to my car scolding myself for being late to work, but the car was nowhere to be found. I right across my apartment the previous night but it wasn’t there that morning. This was at 8:00 am in the morning. I made to all the towing(拖)places, police stations all the time thinking that it was towed by . By around 10:00 am, I couldn’t find it anywhere and the policemen decided that it was stolen. After filing a report with them, I finally got to work thinking how my day was completely . Later in the day I went to pick up a rental car at an enterprise to realize that my license was missing too along with my car. I told the enterprise guy the whole and he was so sorry for me that he to take me to the nearest DMV(车管局)and get a duplicate(副本的) . I was totally surprised. I didn’t know why this complete stranger would want to some time off his day to help me . He actually took me to DMV, got a duplicate and then me a car. I was the whole day because of the continuous events that happened to me but somehow this simple act of kindness from a stranger made it all worth it. It cheered me up and made me forget all the misfortunes of the day. I was so by this kind act that the next day I made sure someone else got a similar . I took some smiley shaped chocolates and them on some of my colleague’s desks. This is still a lot out there in the world. We just need to take the time to discover it.
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