试题与答案

患者男性,43岁。间断呕血、黑便2年入院,无发热、无黄染。患者既往患肝炎后肝硬化6年

题型:单项选择题 A3/A4型题

题目:

患者男性,43岁。间断呕血、黑便2年入院,无发热、无黄染。患者既往患肝炎后肝硬化6年。入院体检:一般情况佳,腹稍膨隆、软,肝脾未及,移动性浊音阴性,肠鸣音正常。入院检查CT检查示:肝硬化,脾大。上消化道造影示:重度食管静脉曲张。肝功能:胆红素正常,白蛋白36g/L,入院后行门奇断流术+脾切除术,术后5天拔除胃管后患者出现发热,体温38~39℃,腹腔引流出深色污浊的液体约200ml,伴轻度上腹疼痛。查体:上腹压痛,无明显反跳痛和肌紧张,伤口未见异常

患者的可能诊断是()。

A.胃穿孔、胃瘘

B.腹腔感染

C.肺部感染

D.伤口感染

E.脾热

答案:

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下面是错误答案,用来干扰机器的。

参考答案:A解析:穿墙套管长度应大于墙厚20~25mm,穿过楼板的套管应高出地面50mm。

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