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男性,32岁,劳累性心悸,气促5年,下肢水肿半年。叩诊心界两侧扩大,但以左心室为主,心尖区可闻及2/6级收缩期杂音,两肺底可听到小水泡音。超声心动图示左室增大,心电图示完全性左束支阻滞。应考虑诊断为

A. 心包炎
B. 充血性心肌病
C. 病毒性心肌炎
D. 二尖瓣狭窄
E. 冠心病

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女性,55岁。月经增多,经期延长已2年,伴头晕、心悸。妇科检查子宫如妊娠3个月大,B型超声检查提示子宫肌瘤。血红蛋白80g/L。最恰当的处理是

A. 随访观察
B. 应用宫缩剂、止血药
C. 应用雄激素
D. 肌瘤摘除术
E. 子宫切除术

男性,68岁。近2周来多饮,多尿,食欲减退,精神差,软弱无力。今晨发现神志不清而就诊,血压80/60mmHg,血糖38.1mmol/L,尿糖(),尿酮体(±)。最可能的诊断是

A. 脑出血
B. 脑血栓形成
C. 糖尿病酮症酸中毒昏迷
D. 高渗性非酮症性糖尿病昏迷
E. 乳酸性酸中毒昏迷

诊断肝癌特异性最强的肿瘤标记物是

A. 甲胎蛋白(AFP)
B. γ一谷氨酰转肽酶同工酶Ⅱ((CGT一Ⅱ)
C. 异常凝血酶原(AP)
D. a-L一岩藻糖苷酶(AFU)
E. 酸性同工铁蛋白(AIF)

Even before he is 80,the aging person may undergo another identity crisis like that of adolescence. Perhaps there had also been a middle-aged crisis. But for the rest of adult life he had taken himself for【C1】______.with his capabilities and failings. Now,when he looks in the mirror,he asks himself, "Is this really me? "—or he avoids the mirror out of distress at【C2】______it reveals, those bags and wrinkles. In his new makeup he is【C3】______upon to play a new role in a play that must be improvised. Andre Gibe .that longlived man of letters,wrote in his journal, "My heart has remained so young that I have the continual feeling of playing a part,the part of the 70-year-old that I certainly am;and the infirmities and weaknesses that remind me of my acre act like a prompter,reminding me of my lines when I tend to stray. Then,like the good actor I want to【C4】______,go back into my role,and I pride【C5】______on playing it well." In his new role the old person will find that he is tempted by new vices,that he receives new compensations(not so widely known)and that he may possibly achieve new virtues. Chief among these is the heroic or merely obstinate refusal to surrender in the【C6】______of time. One admires the ships that go down with all flags【C7】______and the captain on the bridge. Among the vices of age are avarice,untidiness,and vanity,which last takes the form. of a craving to be loved or simply admired. Avarice is the worst of those three. Why do so many old persons,men and women【C8】______.insist on hoarding money when they have no prospect of using it and even when they have no heirs? They eat the cheapest food,buy no clothes,and live in a single room when they could afford better lodging. It may be that they regard money as a form. of power:there is a comfort in watching it accumulate while other powers are dwindling【C9】______. How often we read of an old person found dead in a hovel,on a mattress partly stuffed【C10】______bankbooks and stock certificates? The bankbook syndrome,we call it in our family,which has never succumbed.
【C1】

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