问题 单项选择题 A1型题

男,30岁,由5m高处跌下2小时。腹痛,腹肌紧张,有压痛和反跳痛,肠鸣音弱。血压104/70mmHg,脉率120次/分。血红蛋白80g/L。X线检查:右侧第9、10肋骨骨折,右侧膈肌升高。最可能的诊断是()

A.肝破裂

B.胃破裂

C.脾破裂

D.横结肠破裂

E.胰腺断裂

答案

参考答案:A

解析:实质性脏器损伤主要表现为腹腔出血,腹痛,腹膜刺激征。又因受伤部位及右侧膈肌升高进一步考虑为肝破裂。

填空题
阅读理解

阅读理解

       Many years ago, there was a carpenter (木匠) who made a wooden girl that looked like a real  

one.  When a painter heard about it, he was very interested and paid the carpenter a visit.    

       The carpenter and the painter talked and drank until late at night.  Finally, the carpenter said. "I'll let

you rest now.  lf there's anything you need, just call the servant (仆人). " Then he went to sleep in another

room.    

       The painter told the servant girl to bring him a cup of tea, but she just stood there as if (似乎是)  she was not listening.  

       The painter realized that the servant girl was the wooden girl. He got very angry.     The next morning, the carpcnter wanted to see how amused the painter was.  He opened the door.  To his surprise,  there

was plenty of food on the table.  He was very happy.  He tried to cat a piece of bread, but couldn't pick

it up.  It turned out (原来) everything he was seeing was just a painting.     

       The carpenter was so embarrassed.  The painter went out and said,   "If you make fun of others,  

you'll be made fun of too ! "

根据短文内容,回答下列问题。

1. What did the carpenter make?

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2. Did a painter pay the carpenter a visit when he heard about it?

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3. Who did the carpenter tell the painter to call if he needed help?

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4. How did the painter feel when he realized that it wasn't a real girl?

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5. Why couldn't the carpenter pick up a piece of bread on the table?

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