患者男性，43岁。间断呕血、黑便2年入院，无发热、无黄染。患者既往患肝炎后肝硬化6年。入院体检：一般情况佳，腹稍膨隆、软，肝脾未及，移动性浊音阴性，肠鸣音正常。入院检查CT检查示：肝硬化，脾大。上消化道造影示：重度食管静脉曲张。肝功能：胆红素正常，白蛋白36g/L，入院后行门奇断流术+脾切除术，术后5天拔除胃管后患者出现发热，体温38～39℃，腹腔引流出深色污浊的液体约200ml，伴轻度上腹疼痛。查体：上腹压痛，无明显反跳痛和肌紧张，伤口未见异常
下列哪项检查可以明确诊断（）
A.血常规、肝功能和乙肝五项
B.CT检查
C.口服亚甲蓝后注意腹腔引流管是否流出
D.胃镜检查
E.腹平片
参考答案：C
| 任务型阅读。 Since many of you are planning to study at a college or university in this country, you may be curious to know what you usually do in a typical week, bow you can get along with your fellow students, and so on. These are the questions I want to discuss with you today. First, let's talk about what your weekly schedule will look like. No matter what your major may be, you can expect to spend between four and six hours a week for each class attending lectures. Lectures are usually in very large rooms because some courses such as introduction to sociology or economics often have as many as two or three hundred students, especially at large universities. In lectures, it's very important for you to take notes on what the professor says because the information in a lecture is often different from the information in your textbooks. Also, you can expect to have exam questions based on the lectures. So it isn't enough to just read your textbooks; you have to attend lectures as well. In a typical week you will also have a couple of hours of discussion for every class you take. The discussion section is a small group meeting usually with fewer than thirty students where you can ask questions about the lectures, the reading, and the homework. In large universities, graduate students, called teaching assistants, usually direct discussion sections. If your major is chemistry, or physics, or another science, you'll also have to spend several hours a week in the lab, or laboratory, doing experiments. This means that science majors spend more time in the classroom than non-science majors do. On the other hand, people who major in subjects like literature or history usually have to read and write more than science majors do. | ||||||||||
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