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患者,男性,50岁,骤发剧烈上腹痛,伴腹胀、恶心、呕吐1天。患者于发病当天无明显诱因突然发作剧烈腹痛,觉剑突下偏右呈发作性胀痛,腹痛迅速波及全腹部转成持续性、刀割样剧烈疼痛,并向后背放射,伴恶心、呕吐,吐出胃内容物。发病以来未曾排便及排气,12小时前腹痛加重并出现烦躁不安,憋气,伴体温升高遂来急诊。3年前查体发现胆囊结石,未予治疗。既往无类似腹痛,无溃疡病史。查体:T38.9℃,BPl10/80mmHg,P110次/分,R32次/分。全身皮肤及巩膜可疑,全腹膨隆,伴明显肌紧张及广泛压痛、反跳痛,移动性浊音(±),肠鸣音弱。辅助检查:Hb96.1g/L,WBC18.9×10/L,AST211切U/L,BUN9.9mmol/L,TBIL30μmol/L,DBIL12μmol/L,血钙1.75mmol/L。卧位腹平片示肠管充气扩张,肠间隙增宽。B超:肝回声均匀,未发现异常病灶,胆囊7cm×3cm×2cm大小,壁厚0.4cm,内有多发强光团,回声后有声影,胆总管直径0.9cm,胰腺形态失常,明显肿大,尤其以胰头、胰体明显,胰多量液性暗区,胰管增粗。下述哪些治疗()
A.
密切观察病情,有感染征象时,可手术探查
B.
立即剖腹探查
C.
适当应用抗生素及生长抑素类制剂
D.
大剂量应用抗生素
E.
禁食,胃肠减压
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参考答案:
举一反三
【单选题】The human being longs for a sense of being accomplished, of being able to do things, with his hand, with his mind, with his will. Each of us wants to feel he or she has the ability to do【1】that is mea...
A.
one thing
B.
something
C.
work
D.
a job
【判断题】在文类学研究中,不能完全用某一民族的文类概念和理论来衡量和要求其他民族的相应文学类型。
A.
正确
B.
错误
【单选题】They failed to pass the exam last time. I regretted ______them. A. to be not able to help B. being not able to help C. not being able to help D. not be ...
A.
to be not able to help
B.
being not able to help
C.
not being able to help
D.
not be able to help
【单选题】抗损性强、可折叠、可局部穿孔、可局部切割的是
A.
二维条码
B.
磁卡
C.
IC卡
D.
光卡
【简答题】A.Being initiative. B.Being able to lead a team. C.Being dynamic. D.Being able to prettily use power.
【单选题】She apologized for _____ the party.
A.
not her being able to attend
B.
her not being able to attend
C.
her being able not to attend
D.
her being notable to attend
【单选题】Being properly dressed for the arctic environment is the key to being able to enjoy all the fantastic experiences at Ice Hotel.
A.
Y
B.
N
C.
NG
【单选题】()抗损性强、可折叠、可局部穿孔、可局部切割。
A.
二维条码
B.
磁卡
C.
IC卡
D.
光卡
【单选题】She apologized for ______.
A.
her not being able to attend the meeting
B.
her being not able to attend evening party
C.
her being able not to attend the class
D.
not her being able to attend the lecture
【判断题】点茶、焚香、插花、挂画是中国古代文人雅士的生活四艺。
A.
正确
B.
错误
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