问题 单项选择题

女性,45岁,突发右上腹及心窝部刀割样绞痛伴阵发性加剧1天,发病后 12小时寒战、高热,巩膜黄染,剑突偏右侧深压痛,右上腹轻度肌紧张,体温38℃,WBC 14×109/L,血清总胆红素30μmol/L,尿胆原(-),尿胆素(++),应诊断为

A.溃疡病穿孔
B.急性胰腺炎
C.急性胆囊炎
D.胆总管结石
E.高位阑尾炎

答案

参考答案:D

解析:患者表现为典型的Charcot三联征(腹痛、寒战发热、黄疸),在我国引起胆管梗阻和感染常见的原因为胆总管结石。

单项选择题

The physicians in a hospital form the core of the medical staff. But they couldn’t provide effective medical care to their patients without the help of numerous other medical employees. From the viewpoint of the patients, the nursing staff is particularly important. Nurses are usually in close contact with patients as long as they are in the hospital.

A nurse does not study for as many years as a doctor. However, each must be equally dedicated. Caring tot sick persons requires a great deal of patience and concern. Most nurses work long days, and they often must work at odd hours or during the night.

Under the supervision of the head nurse, the nursing staff must provide nursing services on 24-hour basis and attend to patients’ needs. This responsibility continues around the clock, and so nurses must work in shifts. A shift is a period of duty, usually eight in length. The nurses on the ward rotate their shifts. All of them work out of a central area on the ward called the nurses’ station.

A nurse must always be alert. She can never afford to be careless. This is true in all nursing situation, but it is especially true in the intensive care unit. Patients under intensive care duty have one of the most demanding jobs in the hospital.

Serving as a nurse can be a very. rewarding job. But it is not an easy one. Not every person is suited to become a nurse. Only very dedicated people have chosen nursing as a profession.

What kind of person is suited to become a nurse()

A.A very careful person.

B.An able person.

C.A very dedicated person.

D.A specially trained person.

多项选择题