患者女，49岁，因“偶发右上腹痛3年，上腹痛伴背部疼痛1d”来诊。近3年来偶有右上腹部疼痛，伴或不伴恶心、呕吐。1d前发生上腹部疼痛，伴背部疼痛，无明显发热。查体：急性病容，巩膜可疑黄染；腹平软，上腹部偏左有压痛，无腹腔积液，肠鸣音正常。
B型超声：胆囊内有多发强回声伴声影，胆总管直径8mm。为了确诊胆管结石还应进行的检查是（）
A.腹部X线片
B.CT
C.静脉胆管造影
D.内镜逆行胰胆管造影（ERCP）
E.经皮经肝胆管造影术（PTC.
参考答案：D
In one’s life, one spends the most time being with oneself. But one has the least understanding of oneself. When you are successful, you may be very 41 . When you 42 , you may lose heart. If you don’t get a thorough understanding of yourself, you may miss many chances in life. To get a thorough understanding of yourself is to know well about yourself. You may realize your strong points and weak 43 . You may hope for a wonderful future, but be sure not to expect too much because not 44 dreams can come true. You may be confident enough to meet challenges，but first you should know 45 . To get a thorough understanding of yourself needs self-appreciation(自我欣赏). Maybe you think you are a tall tree 46 just small grass, but you can always have your own way of being there. As soon as you get full confidence in yourself, you are sure to face any trouble. To get a thorough understanding of yourself also 47 to take care of yourself. When you are angry, find a quiet place so that you won’t be hurt. When you are 48 , tell your friends about it to change the mood(情绪) into a good one. When you are tired, get a good sleep. If you don’t know when and how you should look after yourself, you 49 be able to stay away from illness. 50 can tell what will happen in the future. Get a thorough understanding of yourself, and you will get a full control of yourself and find your life full of color.
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