一名体操运动员在练习翻高低杠时，突起上腹痛，2小时后疼痛加剧，仍位于上腹部，且相应的背部疼痛，呕吐多次，呕吐物中有血，以往有过胆囊炎病史。X线检查：横结肠肝曲胀气，腹膜后似有气体。应考虑的诊断是（）
A.肝破裂
B.胆囊破裂
C.右肾破裂
D.肠系膜血管破裂
E.十二指肠破裂
参考答案：E
解析：十二指肠的大部分位于腹膜后，损伤的发病率很低，可出现右上腹部疼痛持续性加重，右上腹及腰部有明显压痛，可有血性呕吐物出现，血清淀粉酶升高，平片可见膈下气体或者腹膜后积气，胃管内注入碘剂可见外溢。故答案应选E。
根据短文内容，从短文后的选项中选出能填入空白处的最佳选项。选项中有两项为多余选项。 Kids' health: Four steps for fighting stress Everybody gets stressed time to time. 小题1: Some ways of dealing with stress 一like screaming or hitting someone一don't solve (解决) much. But other ways, like talking to someone you trust, can lead you to solving your problem or at least feeling better. Try taking these four steps the next time you are stressed: (1) Get support. When you need help, reach out to the people who care about you. Talk to a trusted adult, such as a parent or other relatives. 小题2: They might have had similar problems, such as dealing with a test, or the death of a beloved pet. (2) Don't take it out on yourself. Sometimes when kids are stressed and upset they take it out on themselves. Oh, dear, that's good idea. Remember that there are always people to help you. Don't take it out on yourself. 小题3: (3) Try to solve the problem. After you're calm and you have support from adults and friends, it's time to get down to business. 小题4: Even if you can't solve it all, you can solve a piece of it. (4) Be positive. Most stress is temporary(暂时的).Remember stress does go away, especially when you figure out the problem and start working on solving it. These steps aren't magic, but they do work. And if you can stay positive as you make your way through a tough time, you'll help yourself feel better even faster. 小题5:
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