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问题 单项选择题 A2型题

患者男，60岁。反复上腹痛3年，疼痛节律不明显，食欲差，体重下降。突发呕血3次，约1000ml，经积极治疗24小时，出血仍不止。血压为90/50mmHg，用下列哪种方法治疗为宜（）

A.注射立止血

B.法莫替丁静滴

C.尽快手术治疗

D.口服凝血酶

E.去甲肾上腺素冰盐水灌注

答案

参考答案：C

解析：老年患者，上腹痛节律不明显，有食欲差和体重下降，提示存在胃癌可能；患者上消化道出血量大，内科积极治疗无效，应尽快手术治疗。

单项选择题

诊断胃肠道穿孔的最简单、最有效的方法是（）

A.消化道钡剂造影

B.碘水造影

C.腹部透视及腹部平片

D.CT

E.CT冠状位重建
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单项选择题

The amazing success of humans as a (91) is the result of the evolutionary development of our brains which has led, among other things, to tool-using, tool-making, the (92) to solve problems by logical reasoning, thoughtful cooperation, and language. One of the most striking ways in which chimpanzees biologically (93) humans (94) in structure of their brains. The chimpanzee, with the capacity for (95) reasoning, (96) a type of intelligence more like that of humans than (97) any other mammal living today. The brain of the modern chimpanzee is probably not too dissimilar (98) the brain that so many millions of years ago (99) the behavior of the first ape man.
For a long time, the fact that prehistoric people made (100) was considered to be one of the major (101) distinguishing them from other creatures. (102) pointed out earlier, I have watched chimpanzees (103) grass stems in order to use them to probe for termites. It is tree that the chimpanzee does not (104) tools to "a regular and set pattern"—but then, (105) people, before their development of stone tools, undoubtedly poked around (106) sticks, and straws, at which stage it seems (107) , that they made tools to a set pattern either.
It is because of the close (108) in most people’s minds of tools with humans (109) special attention has always been focused upon any animal able to use an object as a tool: but it is important to realize that this ability, on its own, does not necessarily indicate any special intelligence in the creature (110) .

A．criterion

B．criteria

C．standard

D．level
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