问题 单项选择题 案例分析题

男,22岁,因黑便1天来诊。既往无胃病及肝病史。查体:面色稍苍白,血压100/60mmHg,心率92次/分,腹软,肝脾未触及,肠鸣音活跃。

最可能的诊断是()

A.食管静脉曲张破裂出血

B.十二指肠溃疡并发出血

C.胃癌出血

D.Zollinger-Ellison综合征并发出血

E.食管贲门撕裂综合征

答案

参考答案:B

解析:对于大出血,体质差,肝功能损害严重,明显黄疸,顽固性腹水患者不主张手术,适应非手术疗法。因为手术治疗时,患者死亡率达60%~70%。

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When Mary Moore began her high school in 1951, her mother told her, "Be sure and take a typing course so when this show business thing doesn’t work out, you’ll have something to rely on." Mary responded in typical teenage fashion. From that moment on, "the very last thing I ever thought about doing was taking a typing course," she recalls.
The show business thing worked out, of course. In her career, Mary won many awards. Only recently, when she began to write Growing Up Again, did she regret ignoring her morn," I don’t know how to use a computer," she admits.
Unlike her 1995 autobiography, After All, her second book is less about life as an award-winning actress and more about living with diabetes (糖尿病). All the money from the book is intended for the Juvenile Diabetes Research Foundation (JDRF), an organization she serves as international chairman. "I felt there was a need for a book like this," she says. " I didn’t want to lecture, but I wanted other diabetics to know that things get better when we’re self-controlled and do our part in managing the disease."
But she hasn’t always practiced what she teaches. In her book, she describes that awful day, almost 40 years ago, when she received two pieces of life-changing news. First, she had lost the baby she was carrying, and second, tests showed that she had diabetes. In a childlike act, she left the hospital and treated herself to a box of doughnuts (甜甜圈). Years would pass before she realized she had to grow up—again—and take control of her diabetes, not let it control her. Only then did she kick her three-pack-a-day cigarette habit, overcome her addiction to alcohol, and begin to follow a balanced diet.
Although her disease has affected her eyesight and forced her to the sidelines of the dance floor, she refuses to fall into self-pity. "Everybody on earth can ask, ’why me’ about something or other," she insists. "It doesn’t do any good. No one is immune to heartache, pain, and disappointments. Sometimes we can make things better by helping others. I’ve come to realize the importance of that as I’ve grown up this second time. I want to speak out and be as helpful as I can be. \

We can know that before 1995 Mary ______.

A. had two books published
B. received many career awards
C. knew how to use a computer
D. supported the JDRF by writing