妊娠合并急性化脓性阑尾炎，行剖宫产和阑尾切除术，术中发现阑尾坏死穿孔，弥漫性腹膜炎和严重的盆腔炎，最好采取哪项措施
A．次全子宫切除术
B．全子宫切除术
C．盆腔引流术
D．全子宫切除+盆腔引流术
E．次全子宫切除术+盆腔引流术
参考答案：E
解析：遇有阑尾穿孔并发弥漫性腹膜炎、盆腔感染严重或者子宫、胎盘已有感染征象者，可考虑剖宫产的同时行子宫次全切除术，并做盆腔引流术。
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| I used to hate being called upon in class mainly because I didn't like attention drawn to myself. And 1 assigned(指定)a seat by the teacher, I always 2 to sit at the back of the classroom. All this 3 after I joined a sports team. It began when a teacher suggested I try out for the basketball team. At first I thought it was a crazy 4 because I didn't have a good sense of balance, nor did I have the 5 to keep pace with the others on the team and they would laugh at me. Without the teacher who kept insisting on my " 6 for it", I wouldn't have decided to give a try. Getting up the courage to go to the tryouts was only the 7 of it! When I first started 8 the practice sessions (练习赛), I didn't 9 know the rules of the game, not to mention what I was doing. Sometimes I'd get 10 and take a shot at the wrong direction-which made me feel really stupid. 1 , I wasn't the only one "new" at the game, so I decided to 2 on learning the game, do my best at each practice session, and not be too hard on myself for the things I didn't 3 "just yet". I practiced and practiced. Soon I knew the 4 and the "moves". Being part of a team was fun and motivating. Very soon the competitive 5 in me was winning over my lack of confidence. With time, I learned how to play and made friends in the process (过程) - friends who respected my 6 to work hard and be a team player. I never had so much fun! With my 7 self-confidence comes more praise (赞扬) from teachers and classmates. I have gone from " 8 " in the back of the classroom and not wanting to call attention to myself, 19 raising my hand-even when I sometimes wasn't and not 100 percent 20 I had the right answer. Now I have more self-confidence in myself. | ||||
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