试题与答案

患者女,45岁。右上腹阵发性剧痛伴寒战高热,恶心呕吐2天。查体:T39℃,P120次

题型:单项选择题 A3/A4型题

题目:

患者女,45岁。右上腹阵发性剧痛伴寒战高热,恶心呕吐2天。查体:T39℃,P120次/分,BP90/60mmHg。皮肤、巩膜黄染,谵妄,神志不清,剑突下腹肌紧张。实验室检查:WBC20×109/L,中性粒细胞90%,血清总胆红素75μmol/L。

最可能的诊断是()

A.急性胰腺炎

B.消化性溃疡穿孔

C.急性结石性胆囊炎

D.急性梗阻性化脓性胆管炎

E.泌尿系结石

答案:

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