老年男性，因冠心病服用阿司匹林后恶心，呕吐咖啡样物约300ml，排黑便200g，头晕心悸，无腹痛，查体：BP14/11kPa，P102次/分，心音低钝，心律齐，双肺呼吸音清，腹软，上腹正中压痛，无反跳痛，肝脾未触及。关于出血原因，最可能的诊断是
A．消化性溃疡
B．食管静脉曲张破裂
C．胃癌
D．Mallory-Weiss综合征
E．急性胃黏膜病变
参考答案：E
解析：患者呕吐咖啡样物、黑便，诊断为上消化道出血，出血原因为药物(肠溶阿司匹林)引起的急性胃黏膜病变。
阅读下面短文，根据短文内容，完成下列表格中所缺信息，每空一词。 Hello, everyone! I am Tom. I live in Sunshine Town. It is a new town in Beijing. It is only 40 minutes from the centre of Beijing by underground. There is less air pollution there than in other areas of Beijing. There are some shopping malls in Sunshine Town. You can find wonderful presents there. If you want to eat Chinese food, you can go to Star Shopping Mall, and there are some Western restaurants, too. If you like Beijing opera, you can go to the local theatre. How do you like Sunshine Town? I hope you will come for a visit some day. Hi, my name is Li Lei. My hometown is a modern and busy town. It has a long history. There are many supermarkets, beautiful gardens with good factories(工厂) here. It is very easy to go shopping. There are many restaurants. You can enjoy the mutton. It tastes very delicious. Many visitors come here to enjoy it. There are many good places to visit. There is a park and a big shopping mall. You can see films in Renmin Theatre. My school is on Changjiang Road. It is very beautiful. I hope you can come and visit soon.
|