男性，58岁。患右侧腹股沟斜疝3年。今晨便后疝突出，不能还纳6小时，局部疼痛，伴恶心，无呕吐。
绞窄性疝的手术一般采取（）
A.坏死肠段切除术
B.坏死肠段切除，加疝囊高位结扎术
C.坏死肠段切除，加疝修补术
D.坏死肠段切除，加引流术
E.坏死肠段切除，加疝修补，加引流术
参考答案：B
解析：顿疝如发生绞窄坏死，应切除坏死肠段，高位结扎疝囊。因手术区污染重，周围组织水肿明显，一般不宜做修补术，以免感染造成复发。
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| Today Mr. Johnson, a member of the International Olympic Committee, visited a high school in Beijing. He made a speech there. In his 1 , he talked about the history, and significance of 2 . He described the 3 Olympic Games. He said that athletes at the ancient games could only be men who spoke Greek, 4 today, both men and 5 from around the world can compete. The modern games, first held in 1896, were designed to make it possible for countries and people to live 6 together. Mr. Johnson also talked about some famous 7 . One example is Michael Jordan who 8 his second Olympic gold medal after a long break. He 9 mentioned Deng Yaping who won many gold medals. Mr. Johnson 10 his speech by wishing the Olympic movement a successful future. The audience really enjoyed his speech. | ||||
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