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患者男，30岁，工人，餐前半小时突发上腹部剧痛，很快扩散至右下腹，疼痛呈持续性，无放射，伴有恶心和呕吐。发病3h后来院就诊。查体：体温37℃，心率70次/min，血压16/9kPa（120/70mmHg），腹平，全腹压痛，轻度反跳痛，以右上腹及中上腹为甚，肝浊音界不清，肠鸣音微弱。腹部超声未见明显病变，腹腔无渗液。

患者行立位腹部X线平片检查未见膈下游离气体，应考虑的诊断为（）

A.胆囊穿孔

B.乙状结肠穿孔

C.肝破裂

D.结肠肝曲肿瘤破裂

E.胃十二指肠溃疡穿孔

答案

参考答案：E

单项选择题

For the people who have never traveled across the Atlantic the voyage is a fantasy. But for the people who cross it frequently one crossing of the Atlantic is very much like another, and they do not make the voyage for the (56) of its interest. Most of us are quite happy when we feel (57) to go to bed and pleased when the journey (58) . On the first night this time I felt especially lazy and went to bed (59) earlier than usual. When I (60) my cabin, I was surprised (61) that I was to have a companion during my trip, which made me feel a little unhappy. I had expected (62) but there was a suitcase (63) mine in the opposite corner. I wondered who he could be and what he would be like. Soon afterwards he came in. He was the sort of man you might meet (64) , except that he was wearing (65) good clothes that I made up my mind that we would not (66) whoever he was and did not say (67) . As I had expected, he did not talk to me either but went to bed immediately.
I suppose I slept for several hours because when I woke up it was already the middle of the night. I felt cold but covered (68) as well as I could and tried to go back to sleep. Then I realized that a (69) was coming from the window opposite. I thought perhaps I had forgotten (70) the door, so I got up (71) the door but found it already locked from the inside. The cold air was coming from the window opposite. I crossed the room and (72) the moon shone through it on to the other bed. (73) there. It took me a minute or two to (74) the door myself. I realized that my companion (75) through the window into the sea.

A. It was no one B. There was no one
C. It was anyone D. There was anyone
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多项选择题

使用注浆泵注浆作业时应注意（）。

A．注浆泵只适宜注水泥和水、水玻璃等较细性的混合浆液

B．水泥和水的配比浓度一般不超过1．5∶1

C．不允许注强酸性化学物质

D．注浆压力应不超过注浆泵的最大额定压力
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