问题
单项选择题 A3/A4型题
患者男，38岁。间歇性上腹部隐痛伴反酸4年。今晨突发上腹部剧痛，呈刀割样。查体：腹式呼吸消失，全腹压痛、反跳痛、肌紧张，尤以上腹部为甚。肝浊音界消失，肠鸣音减弱。
治疗应立即采取（）
A.保守治疗
B.剖腹探查
C.输液、对症治疗
D.保守治疗无效，考虑剖腹探查
E.全身情况好转后，考虑剖腹探查
答案
参考答案：B
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患者男，38岁。间歇性上腹部隐痛伴反酸4年。今晨突发上腹部剧痛，呈刀割样。查体：腹式呼吸消失，全腹压痛、反跳痛、肌紧张，尤以上腹部为甚。肝浊音界消失，肠鸣音减弱。
治疗应立即采取（）
A.保守治疗
B.剖腹探查
C.输液、对症治疗
D.保守治疗无效，考虑剖腹探查
E.全身情况好转后，考虑剖腹探查
参考答案：B
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| The life of the "stay-home" girl Mary is only 12 years old but she doesn't live with her parents. Her parents live far away and she has to 1 after her little brother. Mary is one of the "stay-home" 2 in her town. To 3 money, these kids' parents go to big cities to look for jobs. Their children have to stay at home 4 they have to go to work. Every day, she 5 up at 6:00 am. She cooks 6 . Then she goes to school with her brother. They have supper at 6:00 pm. Then she does her homework and helps her brother wash clothes. She usually goes to bed 7 9:30 pm. Mary is busy, but she is still a 8 student in her class. "I think my life is OK." Mary says." 9 I would like my parents 10 with us." | ||||
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