问题 单项选择题

患者女性,55岁。因进食油腻食物后3小时出现上腹部疼痛,向两侧腰部放射,12小时后就诊。查体:体温37.6℃,血压150/90mmHg,腹平软,中上腹偏左压痛,无反跳痛。血淀粉酶600苏氏单位,腹腔穿刺阴性。诊断急性胰腺炎。此时最适宜的措施是()

A.禁食、胃肠减压、抗炎补液、营养支持

B.禁食、抗炎补液、中医中药

C.抗炎补液、中医中药、抑肽酶

D.低脂半流、胃肠减压、抑肽酶

E.少量饮水,输血输液纠正低血容量

答案

参考答案:A

解析:急性胰腺炎早期治疗原则为绝对避免刺激胰液分泌,因此应绝对禁食、水,并行胃肠减压,故D、E错误;由于胰腺炎早期引起全身炎症反应和休克,因此在禁食水、胃肠减压的同时,应及早给予抗炎、补液和营养支持治疗,选项B、C描述不全面,故正确答案选A。

多项选择题
单项选择题

A narrowing of your work interests is implied in almost any transition from a study environment to managerial or professional work. In the humanities and social sciences you will at best reuse only a fraction of the material (1) in three or four years’ study. In most career paths academic knowledge only (2) a background to much more applied decision-making. Even with a " training " form of degree, (3) a few of the procedures or methods (4) in your studies are likely to be continuously relevant in your work. Partly this (5) the greater specialization of most work tasks compared (6) studying. Many graduates are not (7) with the variety involved in (8) from degree study in at least four or five subjects a year to very standardized job (9) . Academic work values (10) inventiveness, originality, and the cultivation of self-realization and self-development. Emphasis is placed (11) generating new ideas and knowledge, assembling (12) information to make a " rational " decision, appreciating basic (13) and theories, and getting involved in fundamental controversies and debates. The humanistic values of higher (14) encourages the feeling of being (15) in a process with a self-developmental rhythm. (16) , even if your employers pursue enlightened personnel development (17) and invest heavily in " human capital " —for example, by rotating graduate trainees to (18) their work experiences—you are still likely to notice and feel (19) about some major restrictions of your (20) and activities compared with a study environment.

(10)()

A.unique

B.single

C.individual

D.specific