问题 单项选择题

患者,男性,58岁,因右腋窝肿块2周入院,手术后切除病检示:外周T细胞淋巴瘤(非特异型)。完善相关检查,胸部、腹部CT均未见异常,骨髓细胞学未见淋巴瘤侵犯。下一步治疗方案应选择()。

A.CHOP方案化疗6周期

B.CHOP方案化疗6周期+右腋窝放疗

C.CHOP方案化疗3周期

D.CHOP方案化疗3周期+右腋窝放疗

E.右腋窝放疗

答案

参考答案:B

解析:外周T细胞淋巴瘤(非特异型)对放化疗敏感,尽管该患者分期属于Ⅰ期,但属于侵袭性淋巴瘤,仍应进行CHOP方案化疗6~8周期,再进行受累野(右腋窝)放疗。

阅读理解

Andrew Ritchie, inventor of the Brompton folding bicycle, once said that the perfect portable bike would be “like a magic carpet…You could fold it up and put it into your pocket or handbag”. Then he paused: “But you’ll always be limited by the size of the wheels. And so far no one has invented a folding wheel.”

It was a rare — indeed unique — occasion when I was able to put Ritchie right. A 19th-century inventor, William Henry James Grout, did in fact design a folding wheel. His bike, predictably named the Grout Portable, had a frame that split into two and a larger wheel that could be separated into four pieces. All the bits fitted into Grout’s Wonderful Bag, a leather case.

Grout’s aim: to solve the problems of carrying a bike on a train. Now doesn’t that sound familiar? Grout intended to find a way of making a bike small enough for train travel: his bike was a huge beast. And importantly, the design of early bicycles gave him an advantage: in Grout’s day, tyres were solid, which made the business of splitting a wheel into four separate parts relatively simple. You couldn’t do the same with a wheel fitted with a one-piece inflated (充气的) tyre.

So, in a 21st-century context, is the idea of the folding wheel dead? It is not. A British design engineer, Duncan Fitzsimons, has developed a wheel that can be squashed into something like a slender ellipse (椭圆). Throughout, the tyre remains inflated.

Will the young Fitzsimons’s folding wheel make it into production? I haven’t the foggiest idea. But his inventiveness shows two things. First, people have been saying for more than a century that bike design has reached its limit, except for gradual advances. It’s as silly a concept now as it was 100 years ago: there’s plenty still to go for. Second, it is in the field of folding bikes that we are seeing the most interesting inventions. You can buy a folding bike for less than £1,000 that can be knocked down so small that it can be carried on a plane — minus wheels, of course — as hand baggage.

Folding wheels would make all manner of things possible. Have we yet got the magic carpet of Andrew Ritchie’s imagination? No. But it’s progress.

小题1:We can infer from Paragraph 1 that the Brompton folding bike        .

A.was portable

B.had a folding wheel

C.could be put in a pocket

D.looked like a magic carpet小题2:We can learn from the text that the wheels of the Grout Portable        .

A.were difficult to separate

B.could be split into 6 pieces

C.were fitted with solid tyres

D.were hard to carry on a train小题3:We can learn from the text that Fitzsimons’s invention        .

A.kept the tyre as a whole piece

B.was made into production soon

C.left little room for improvement

D.changed our views on bag design小题4:Which of the following would be the best title for the text?

A.Three folding bike inventors

B.The making of a folding bike

C.Progress in folding bike design

D.Ways of separating a bike wheel

判断题