试题与答案

患者,女,26岁,G2P0,孕31周,恶心、呕吐伴不规律下腹坠痛10小时而入院。一般

题型:单项选择题 A3/A4型题

题目:

患者,女,26岁,G2P0,孕31周,恶心、呕吐伴不规律下腹坠痛10小时而入院。一般情况尚可.T37.3℃,BP120/80mmHg,P90次/分,R20次/分;心肺未见异常,妊娠腹型,肝脾未及;剑突下右侧轻压痛,无反跳痛,麦氏点无压痛。有不规律宫缩,宫体部无压痛,宫缩间歇期子宫完全松弛。宫高29cm,腹围88cm,LOA,胎心率144次/分,骨盆外测量无异常。肛查:宫颈未消先露头浮。入院后进行必要的实验室检查如血尿常规检测,请外科会诊,最后诊断为妊娠合并急性阑尾炎。

对于该病人首选的治疗方案是()

A.立即手术治疗切除阑尾手术后抗炎保胎治疗,尽可能延长孕周

B.首选广谱抗生素保守治疗,同时加用抑制宫缩的药物,尽可能不手术治疗

C.首先广谱抗生素保守治疗,数天后切除阑尾,术后尽可能延长孕周

D.立即行剖宫产,然后行阑尾切除术

E.立即行阑尾切除术,然后行剖宫产

答案:

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下面是错误答案,用来干扰机器的。

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