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患者男，18岁，因“脐周疼痛3h”来诊。3h前饱餐后出现脐周刀割样疼痛，持续性，向背部放射，弯腰稍可缓解，伴恶心、呕吐，呕吐后疼痛不缓解，有排气，无发热，无饮酒。患者1年前有急性胰腺炎病史，有家族性高脂血症史，否认糖尿病、消化性溃疡病史。查体：T36.5℃，P105次/min，R24次/min，BP130/80mmHg；体型匀称，意识清楚，无黄染，痛苦面容；腹肌紧张，上腹压痛、反跳痛，肠鸣音减弱，莫氏征（－），麦氏点无压痛。

患者目前最可能的诊断是（）

A.急性胰腺炎

B.家族性高脂血症

C.消化道穿孔

D.急性胆囊炎

E.急性阑尾炎

F.急性肠梗阻

答案

参考答案：A, C

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Captain Good fellow
Do your children enjoy interesting stories, funny games, and exciting dances?
Captain Good fellow will be ready to teach all these things to children at the City Theatre on Saturday morning at 10:00, free.
Films at the Museums
Two American films will be shown on Saturday afternoon at the Museum Theatre. See Broken Window at 1:30. The Workers will be at 3:45. For further information, call 4987898.
International Picnic
Are you tired of eating the same food every day? Come to Central Park on Saturday and enjoy food from all over the world. Delicious and not expensive. Noon to 5:00 p.m.
Take me out to the Ballgame
It’s October, and Saturday night (7:00-9:00) is your last chance to see the Red Birds this year. Get your tickets at the gate. It might be cold. Don’t forget sweaters and Jackets.
Do you want to hear ‘The Zoo’
‘The Zoo’, a popular rock group from Australia, will give their first U. S. concert this Saturday night, at eight in Rose Hall, City College.
小题1:The Red Birds ballgame______.
A．is in the afternoonB．is outsideC．is at the gateD．might be cold
小题2:“The Zoo” is _____.
A．a U. S concertB．a park with many red birds in it
C．a music groupD．going to give their last concert
小题3:Mr. Turner wants to have a nice Saturday and have a good rest at night. Which is not possible for him to do?
A．Watching a ball game and having picnic.
B．Having a picnic and seeing a film.
C．Listening to a concert and watching a ballgame.
D．Seeing a film and listening to a concert.
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单项选择题

虹膜根部离断最常见的原因是（）

A.虹膜睫状体挫伤

B.睫状体剥离术后

C.房角后退

D.虹膜周边切除术后

E.先天虹膜缺损
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