There are several ways improve our English writing skills, such as keeping a diary, learning any good writings by heart, doing a lot of reading, etc. As for me, I prefer keeping a diary. Comparing with other forms of writing, keeping a diary is easy and take less time. In addition, they can help us form the habit of thinking in English. If we can keep this practice, and we will gradually learn how to express us in English. What’s more, keeping a diary can be as talking with one of our close friend, sharing our happiness or sadness. In the word, keeping a diary is a good way of improving our written English.

患者，男，18岁。因固定性右下腹痛18小时急诊行阑尾切除术，术中证实为坏疽性阑尾炎穿孔，术后6小时患者仍感腹痛，躁动不安，未解小便。查体：T38.2℃，BP10.7/8kPa（80/60mmHg），面色稍苍白，皮肤湿冷，心率110次/分，脉搏较弱，腹部稍胀，脐周及下腹压痛，轻度肌紧张，肠鸣音变弱。

该患者目前最有可能的情况应考虑（）。

A.肠蠕动正在恢复

B.腹腔内感染

C.急性尿潴留

D.阑尾残端瘘

E.腹腔内出血