患者男，59岁，因“突发剧烈呕吐、胸痛2h”来诊。患者平素体健，

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患者男，59岁，因“突发剧烈呕吐、胸痛2h”来诊。患者平素体健，此次发病原因是饱餐后大量饮酒。查体：T37.6℃，HR103次/min，R19次/min，BP82/50mmHg。意识清楚,急性面容，呼吸急促，口唇发绀，触诊颈胸部广泛皮下气肿，上腹部有压痛，听诊左侧呼吸音减弱，肠鸣音减弱。胸部X线片：左侧胸腔有液气平面。

术后采取的治疗措施包括（提示患者经上消化道造影检查确诊为食管破裂，急行开胸探查，食管裂口行缝合修补术。）（）

A.禁食，胃肠减压

B.静脉高营养输注，适当给予肠内营养

C.保持胸腔充分的冲洗及引流

D.纠正水、电解质紊乱，加强营养支持

E.应用大剂量广谱抗生素抗感染

F.必要时补充红细胞、血浆、清蛋白

答案

参考答案：A, B, C, D, E

阅读理解

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