问题
单项选择题
男,36岁,平素体健,淋雨后发热,咳嗽2天,右上腹痛伴气急、恶心1天。
除考虑急腹症外,重点鉴别的疾病是( )
A.自发性气胸
B.肺梗死
C.肺炎链球菌肺炎
D.肺结核
E.膈神经麻痹
答案
参考答案:C
解析:肺炎链球菌肺炎发病前常有受凉、淋雨史。多有上呼吸道感染的前驱症状。高热、寒战,患侧胸痛,可放射至肩部或腹部,咳嗽或深呼吸时加剧。
男,36岁,平素体健,淋雨后发热,咳嗽2天,右上腹痛伴气急、恶心1天。
除考虑急腹症外,重点鉴别的疾病是( )
A.自发性气胸
B.肺梗死
C.肺炎链球菌肺炎
D.肺结核
E.膈神经麻痹
参考答案:C
解析:肺炎链球菌肺炎发病前常有受凉、淋雨史。多有上呼吸道感染的前驱症状。高热、寒战,患侧胸痛,可放射至肩部或腹部,咳嗽或深呼吸时加剧。
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