以下各项中，应怀疑为绞窄性肠梗阻的临床表现是（）
A.明显的全身情况
B.腹膜炎体征明显
C.腹部不对称
D.腹痛为阵发性、持续性加剧
E.以上都是
参考答案：E
解析：如下情况可考虑诊断为绞窄性肠梗阻：①腹痛剧烈，发作急骤，在阵发性疼痛间歇期，仍有持续性腹痛；②病程早期即出现休克，并逐渐加重，或经抗休克治疗后，改善不显著；③腹膜刺激征明显，体温、脉搏和白细胞计数在观察期间有升高趋势；④呕吐或自肛门排出血性液体，或腹腔穿刺吸出血性液体；⑤腹胀不对称，腹部可触及压痛的肠袢。故答案应选E。
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| I can't remember when I started collecting litter. But it was when I got tired of 1 litter nearby and realized that 2 was going to pick it up. I live near a 3 in Enshi, Hubei Province. I can walk there in three 4 ! I used to love going there 5 with my dog. But one day there was so much litter there that I became very unhappy. I decided I had to clean up the forest. I wanted to 6 happy going there again. I made my 7 trip to clean the forest that afternoon. I took a big black rubbish bag with me. Ten minutes 8 starting to pick up litter, my bag was full! It had cans, bottles, broken glass and newspapers in it. From then on, I went to the forest four times a year to pick up the litter. I often 9 there for three hours. It makes me feel 10 to do something for the environment. | |||
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