问题 单项选择题

女性,26岁,3年前曾行阑尾切除术。近2天腹痛腹胀,肛门无排便排气,立位腹平片示孤立胀大的肠袢,位置固定不随时间变化。最恰当的处理为

A.胃肠减压,抗生素治疗
B.输液,补充血容量
C.纠正水电解质紊乱
D.肛管排气
E.积极术前准备,剖腹探查

答案

参考答案:E

解析:[解题思路] 根据病人有阑尾炎手术史及表现的症状,考虑为粘连性肠梗阻,腹平片发现固定,不随时间变化的孤立肠袢,可能有绞窄性梗阻存在,应早期剖腹探查。

完形填空

Directions: Read the following passage. Answer the questions according to the information given in the passage and required words limit. Write your answers on your answer sheet.

A 10-year-old boy decided to study judo despite the fact that he had lost his left arm in a terrible car accident.

The boy began lessons with an old Japanese judo master. The boy was doing well, so he couldn't understand why, after three months of training, the master had taught him only one move. "Sensei," the boy finally said, "shouldn't I be learning more moves?" "This is the only move you know, but this is the only move you'll ever need to know," the sensei replied. Not quite understanding, but believing in his teacher, the boy kept training.

Several months later, the sensei took the boy to his first tournament.

Surprising himself, the boy easily won his first two matches. The third match proved to be more difficult, but after some time, his opponent became impatient and charged; the boy deftly used his one move to win the match. Still amazed by his success, the boy was now in the finals.

This time, his opponent was bigger, stronger, and more experienced. For a while, the boy appeared to be overmatched. Concerned that the boy might get hurt, the referee called a timeout. He was about to stop the match when the sensei intervened.

"No," the sensei insisted, "let him continue." Soon after the match resumed, his opponent made a big mistake: he dropped his guard. Instantly, the boy had won the match and the tournament. He was the champion.

On the way home, the boy and sensei reviewed every move in each and every match.

Then the boy gathered the courage to ask what was really on his mind. "Sensei, how did I win the tournament with only one move?" You won for two reasons," the sensei answered. "First, you've almost mastered one of the most difficult throws in all of judo. Second, the only known defense for that move is for your opponent to grab your left arm."

小题1:How did the judo master teach the boy? (no more than 8 words)

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小题2: Why did the referee call a timeout? (no more than 9 words)

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小题3:What were the reasons for the boy’s winning the champion? (no more than 20 words)

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小题4:What can we learn from the short story? (no more than 8 words)

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单项选择题