问题 多项选择题 案例分析题

患者女,33岁。因“剧烈腹痛”就诊。4年前开始反复上腹痛,餐前出现,餐后缓解,今晨突然出现剧烈腹痛。查体:血压84/40mmHg(1mmHg=0.133kPa),体温38.9℃,上腹部压痛、反跳痛及肌紧张,肠鸣音减弱。实验室检查:血红细胞4.2×1012/L,白细胞22×109/L。

为进一步确诊,首先应作的检查是()

A.腹部B型超声

B.立位腹部X线片

C.内镜

D.腹腔穿刺

E.血淀粉酶

F.腹部CT

答案

参考答案:E

单项选择题

阅读下列短文,从每题所给的四个选项(A、B、C和D)中选出最佳选项,并在答题卡上将该项涂黑。

C

I am peter Hodes ,a volunteer stem courier. Since  March 2012, I've done 89 trips of those , 51 have been abroad, I have 42 hours to carry stem cells(干细胞)in my little box because I've got two ice packs and that's how long they last, in all, from the time the stem cells are harvested from a donor(捐献者) to the time they can be implanted in the patient, we’ve got 72 hours at most, So I am always conscious of time. 学科&网

I had one trip last year where I was caught by a hurricane in America. I picked up the stem cells in Providence, Rhode Island, and was meant to fly to Washington then back to London. But when I arrived at the check-in desk at Providence, the lady on the desk said:”Well, I’m really sorry, I’ve got some bad news for you-there are no fights from Washington.”So I took my box and put it on the desk and I said:”In this box are some stem cells that are urgently needed for a patient-please, please, you’ve got to get me back to the United Kingdom.”She just dropped everything. She arranged for a flight on a small  plance to be held for me.re-routed(改道)me through Newark and got me back to the UK even earlier than originally scheduled.

For this courier job, you’re consciously aware than that box you’re got something that is potentially going to save somebody’s life.

Why does Peter have to complete his trip within 42hours?()

A. He cannot stay away from his job too long.

B. The donor can only wait for that long.

C. The operation needs that very much.

D. The ice won't last any longer.

单项选择题