问题 单项选择题

上述患者行保守治疗2小时后,查BP:80/50mmHg,Hb:70g/L,左上腹包块增大,此时应考虑

A.继续保守治疗

B.留置尿管

C.穿刺引流

D.探查手术

E.肾切除

答案

参考答案:D

解析:[解题思路] 1.患者左腰被撞击1小时,无腹部肌紧张及压痛,无移动性浊音,左侧腹触及包块,范围局限。患者的诊断不会为对侧肾积水、肝破裂、胃穿孔、肾外伤后肾积水,只能是肾外伤后引起肾周血、尿液外渗。2.肾外伤患者在保守治疗期间出现血尿逐渐加重,血红蛋白减少,血压下降,腰腹部肿块增大,说明肾损伤严重,应考虑探查手术。

单项选择题
单项选择题

It was two years ago today that the hunting ban came into force, supposedly ending centuries of tradition. However, the law has been an unmitigated failure-not that either side is shouting about it.
It was a nightmare vision that struck fear and loathing into the hearts of millions. When the hunting ban became law, it was said, 16, 000 people would lose their jobs, thousands of hounds would be put down, rotting carcasses would litter the countryside, hedgerows would disappear, riders would face on-the-spot fines, law-abiding people from doctors to barristers would be dragged from their horses and carted off to prison, while dog owners would be prosecuted if their mutt caught a rabbit.
These were just some of the claims as desperate countryside campaigners battled to save their sport in the lead-up to the hunting ban, which Labour rammed into law using the Parliament Act on November 18, 2004.
For many, the fears were real. Others exaggerated as they fought an increasingly aggressive anti-hunting lobby which had rejected acres of independent evidence affirming that hunting is the most humane way of killing foxes. In the battle to"fight prejudice, fight the ban", every emotive argument was deployed.
For its part, the anti-hunting brigade extravagantly claimed that the ban would put an end to the rich parading in red jackets. A senior Labour MP, Peter Bradley, admitted in this newspaper that it was, as many suspected, about "class war". He lost his seat shortly afterwards. But people in red coats did not disappear.
In fact, none of the forecasts came true. What did happen was something nobody had predicted: the spectacular revival and growth of hunting with hounds. In short, the hunting ban has been a failure.
Today, on the second anniversary of the ban’s coming into force on February 18, 2005, new figures show that participation in the sport has never been higher. It is so cheerful that two new packs have been formed, something that has not happened for centuries.
They include the seductively named Private Pack, set up by the financier Roddy Fleming in Gloucestershire. It operates on an invitation-only basis, a sort of hunting private members’ club. This can only mean one thing: like it or not, hunting is cool. Young people are taking it up, enticed by the element of rebellion and the mystique of what actually happens as hunts attempt to keep within the law.

The word "prosecuted" underlined in Paragraph 4 is closest in meaning to ______.

A.go to court

B.encourage

C.publish

D.prevent