试题与答案

女性，53岁。呕血、便血6小时。量约3000ml，伴轻度意识障碍。患肝炎后肝硬化10

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题型：单项选择题 案例分析题

题目：

女性，53岁。呕血、便血6小时。量约3000ml，伴轻度意识障碍。患肝炎后肝硬化10年。入院体检：血压90／60mmHg，心率120次／分。巩膜轻度黄染，腹平、软，肝未及，脾肋下7cm，移动性浊音阳性，肠鸣音稍亢进。

患者经抗休克，输血，压迫止血等治疗后，生命体征逐渐平稳，但三腔二囊管压迫放气后，又再次发生出血，量约2000ml。腹腔积液。肝功能检查：血清胆红素70μmol／L，白蛋白25g／L。下一步治疗应考虑（）

A.TIPS

B.胃大部切除术

C.急诊行分流术

D.急诊行断流术

E.急诊断流术+限制性分流术

答案：

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考点：江苏住院医师内科Ⅰ阶段消化内科综合练习消化内科综合练习题库
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