问题
单项选择题 案例分析题
男性，68岁。病人持续性寒战高热1周余，伴有头痛、恶心等，这几天会阴部有坠胀感，便意不尽，排尿不适，大便有黏液。
病人经补液加抗菌治疗后，体温仍持续在38℃左右，经肛门镜下细针穿刺有脓液，最大可能应考虑为（）
A.混合痔
B.复杂性肛瘘
C.肛门周围脓肿
D.骨盆直肠间隙脓肿
E.坐骨肛管间隙脓肿
答案
参考答案：D
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男性，68岁。病人持续性寒战高热1周余，伴有头痛、恶心等，这几天会阴部有坠胀感，便意不尽，排尿不适，大便有黏液。
病人经补液加抗菌治疗后，体温仍持续在38℃左右，经肛门镜下细针穿刺有脓液，最大可能应考虑为（）
A.混合痔
B.复杂性肛瘘
C.肛门周围脓肿
D.骨盆直肠间隙脓肿
E.坐骨肛管间隙脓肿
参考答案：D
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| Anorexia nervosa is an eating disorder that I struggled with for most of my middle school years and a part of my high school years. At Riverview, 1 was usually a nightmare (噩梦) for me. As I 2 the dining hall, all the eyes would be fixed upon my bony figure. I would take my place at a table full of friends and 3 to enjoy a "normal" lunch. The 4 was that I would not always eat lunch, and that greatly 5 my friends. They would watch to make sure that I was eating properly, almost 6 food into my mouth. And then, I transferred to Madison High School. I decided not to tell anyone at that school about my eating disorder since I had almost 7 by that time. Strangely, I stopped fearing lunch when I started at Madison. No one knew that I had an eating disorder, 8 they did not care what I ate. This 9 a huge amount of stress from my life. It was still hard for me to eat in front of others, which is 10 for an anorexic, but I was able to put some of my 11 aside. I was thankful for the students at Riverview, but they knew me only as an anorexic. My friends cared about my health, but they 12 to care about me as a person. Truthfully, all I wanted was for them to 13 me and not to fix on my eating disorder. The students at Madison took the time to know who I 14 was. They had no idea that I had been an anorexic, so that a particular label (标签) did not 15 their opinions of me. I was finally 16 for my talents and achievements, not my failures. I was honored as a good student. I was no longer afraid to show my true 17 . My days as an anorexic taught me many lessons that I would never 18 . They taught me about life and how to be a better friend. I learned about the joy of 19 tasks such as eating lunch. I appreciated the people who helped me to see that there is more 20 life than having an eating disorder. | ||||
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