问题
单项选择题
女性,64岁,因"右上腹绞痛伴发热"诊断为急性胆囊炎,已经非手术治疗5天,现患者持续剧烈疼痛,伴高热。体检:体温39.2℃,右上腹广泛压痛,反跳痛及腹肌紧张,肠鸣音减弱,血常规白细胞18×109/L。此时治疗应选择
A.胆囊切除术
B.胆囊造口术
C.胆囊造口术加腹腔引流
D.胆囊切除及胆总管切开加T管引流术
E.胆管空肠Roux-en-Y吻合术加胆囊切除
答案
参考答案:C
女性,64岁,因"右上腹绞痛伴发热"诊断为急性胆囊炎,已经非手术治疗5天,现患者持续剧烈疼痛,伴高热。体检:体温39.2℃,右上腹广泛压痛,反跳痛及腹肌紧张,肠鸣音减弱,血常规白细胞18×109/L。此时治疗应选择
A.胆囊切除术
B.胆囊造口术
C.胆囊造口术加腹腔引流
D.胆囊切除及胆总管切开加T管引流术
E.胆管空肠Roux-en-Y吻合术加胆囊切除
参考答案:C
补全对话 从每题A、B、C、D 中, 选出一个能够填入对话空白处的最佳选项。(5分) Bruce: Hi, Kate! How was your summer holiday? Kate : Bruce: Where did you go? Kate : I went to Yinchuan with my parents. Bruce: Kate : It’s one of the most beautiful cities in the northwest of China. I like it very much. Bruce: How long did you stay there? Kate : We stayed there for five days. Bruce: Which is your favorite place? Kate : When I was there, I lost myself in the beautiful scenery. Bruce: What interesting things did you do there? Kate : Lots of things, such as swimming, boating, fishing and riding camels. Bruce: Oh, really, I can’t wait to go there.
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