试题与答案

腹部损伤行腹腔穿刺,抽得不凝血液,应诊断为()。 A.实质性脏器破裂 B.腹膜后血肿

题型:单项选择题 A1/A2型题

题目:

腹部损伤行腹腔穿刺,抽得不凝血液,应诊断为()。

A.实质性脏器破裂

B.腹膜后血肿

C.误穿入腹腔血管

D.空腔脏器裂伤

E.以上均可

答案:

参考答案:A

解析:诊断性腹腔穿刺,本法简便安全,阳性率可达90%,腹腔穿刺,以下腹部最常见。抽出液体如是血液且迅速凝固,则表明针头误入血管。若不凝固,提示实质性脏器破裂出血。若抽到0.1ml不凝固血液,则为穿刺阳性。

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