试题与答案

患者男,42岁,饱餐后上腹部剧痛6h,伴恶心、呕吐,呕吐物为胃内容物,吐后腹痛更加剧

题型:多项选择题

题目:

患者男,42岁,饱餐后上腹部剧痛6h,伴恶心、呕吐,呕吐物为胃内容物,吐后腹痛更加剧,如刀割样。查体:体温37.8℃,脉搏124次/min,血压80/50mmHg,呼吸25次/min,痛苦面容,巩膜轻度黄染,腹胀,全腹肌紧张,压痛及反跳痛,上腹部为重,肠鸣音消失,肝浊音区存在,移动性浊音阳性,右下腹穿刺得淡红色血性液体,白细胞12×109/L,血淀粉酶3200U/L,血脂肪酶1600U/L,血钙1.5mmol/L。

下一步治疗方案是()(提示治疗2周后病情稳定,无发热、腹痛,无恶心、呕吐。B超检查发现左上腹囊性肿物,直径8cm。)

A.禁食、肠外营养

B.抑制胰腺外分泌药物治疗

C.观察6周后复查CT

D.继续抗生素治疗预防感染

E.进食,无病情变化停用药物治疗

F.开腹手术切除囊肿,胃肠吻合术

G.经皮穿刺引流术

答案:

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参考答案:A解析:《建设工程勘察设计管理条例》规定,建设工程的勘察设计,经有关主管部门批准,可以直接发包。选A

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A.languages; young

B.writing; young

C.writing; old enough

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B.He felt his son expressed himself very well

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(2) He rewrote some of the stories and tried to express their thought fully.

(3) He turned some stories into poems, and then turned them back again.

(4) He tried hard to publish his poems in the periodical The Spectator.

A.(1)(2)(3)

B.(2)(3)(4)

C.(1)(3)(4)

D.(1)(2)(4)

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