男，68岁。饱餐后出现脐周阵发性腹痛，伴呕吐、腹胀，肛门停止排_爱下问搜题

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问题单项选择题

男，68岁。饱餐后出现脐周阵发性腹痛，伴呕吐、腹胀，肛门停止排便排气2天。体检：腹软，脐周有轻度压痛，无反跳痛，肠鸣音亢进，有气过水声。患者2年前曾因化脓性阑尾炎行阑尾切除术，半年来间断性腹部隐痛不适。目前对该患者最重要的处理措施是（）

A.紧急手术

B.应用抗生素

C.应用止痛剂

D.禁饮食，持续胃肠减压

E.温生理盐水灌肠

答案

参考答案：D

解析：该患者2年前因化脓性阑尾炎进行了阑尾切除术，近半年来间断性腹部隐痛不适，说明患者发生了肠粘连。现阵发性腹痛、呕吐、腹胀、肛门停止排便排气，说明患者发生了机械性（粘连性）肠梗阻，无肠绞窄征象，其主要的处理是非手术治疗，包括禁饮食.持续胃肠减压，纠正水、电解质和酸碱失衡，应用抗生素等措施，其中最重要的处理是禁饮食，持续胃肠减压。

阅读理解

There is a girl of 15, who has set up a company of her own. Her name is Wendy Wong. She 1 the business two years ago. She has already__2___several successful computer games. They are so ___3___that over half a million games are __4__out every year. Now all of her family work in her business, and she is _5_ at school.
She gets up early in the morning, and then has a __6__ with her family about the _7__over breakfast. Every day during weekdays, she goes to school in her own car with a _8_, for she is not old enough.
She enjoys her school, but some of the work is too___9__for her to feel __10_. She usually gets “A” grades in all her__11_, so the other students often asks her for__12_.
She finishes her homework in half an hour_13_ her driver takes her home. After dinner, she goes to her office and__14__ to work on her computer, writing games until 2a.m. She does not usually need so much __15__ as other children.

D．interesting

单项选择题 B1型题

调整胰岛素剂量最简便的检查是（）

A.空腹静脉血糖

B.空腹指尖血血糖

C.糖基化血红蛋白

D.葡萄糖耐量试验

E.胰岛素释放试验