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急性胰腺炎、消化性溃疡临床上均可表现为腹痛,如何区分?

答案

参考答案:

急性胰腺炎腹痛多在饱餐后突然发作,中上腹持续剧痛,常伴有恶心呕吐及发热。上腹部深压痛、肌紧张及反跳痛不甚明显。血清淀粉酶明显增高可以确诊本病。不过血清淀粉酶增高常在发病后6~8小时,故初期不高不能排除此病。若腹痛扩展至全腹,并迅速出现休克症状,检查发现满腹压痛,并有肌紧张及反跳痛,甚至发现腹水及脐周、腹侧皮肤斑,则提示为出血坏死型胰腺炎。消化性溃疡好发于中青年,腹痛以中上腹部为主,大多为持续性陷痛,多在空腹时发作,进食或服制酸剂可以缓解为其特点。体格检查可有中上腹压痛,但无肌紧张亦无反跳痛。频繁发作时可伴粪便试验阳性。胃肠钡餐检查或内镜检查可以确立诊断。

阅读理解

London will stage its biggest political funeral in almost half a century on Wednesday when Britain's governing elite join the Queen and global leaders to bid farewell to former Prime Minister Margaret Thatcher, better known as the “ Iron Lady".

In an event comparable to that of Winston Churchill's funeral in 1965, Thatcher's coffin will be carried on a horse-drawn gun carriage through streets lined with admirers from parliament to the city's most famous cathedral.

The bells of London's symbolic Big Ben clock tower will fall silent for the first time since Churchill's funeral and more than 700 men and women from Britain's armed forces will honor a woman who led them to victory in the 1982 Falklands War as foreign politicians from around 170 nations look on.

Surveys have shown that many are unhappy that the estimated l0-million($15 million)pound bill for the funeral is being picked up by the taxpayer, while some left-wing lawmakers say the luxurious funeral is too expensive.                                                                            

But her admirers, of whom there are many in her party and in southern England, argue that her historical profile deserves such a funeral. She was the country's first and only woman premier, was Britain's longest-serving prime minister of the 20th century, and won three general elections.

More than 2,300 mourners will attend including 11 serving prime ministers from around the world, the British government's entire cabinet, two heads of state and 17 foreign ministers.

But there will be notable absences. Former Soviet leader Mikhail Gorbachev is too ill to attend and Nancy Reagan, the widow of Thatcher's great U·S. ally Ronald Reagan, is also unable to come.

Thatcher struck up a close relationship with Reagan during the Cold War, backed the first President  George Bush during the 1991 Gulf War, and was among the first to discover that Gorbachev was a man she could "do business with. ”

Covered in the red, white and blue British flag, Thatcher's coffin lay overnight in a 13th-century church in Britain's parliament, a forum she dominated for years.

小题1:From the passage we know that Big Ben clock tower will fall silent to        .

A.get repaired for the first time

B.honour the passing away of the great woman

C.tell the specific time to the public

D.welcome the officials from all over the world小题2:Who that are still alive will be absent from the funeral?

A.Mikhail Gorbachev and Nancy Reagan.

B.Mikhail Gorbachev and Ronald Reagan.

C.Nancy Reagan and Ronald Reagan.

D.George Bush and Mikhail Gorbachev.小题3:From the passage we can learn that Margaret Thatcher was       .

A.strong and smart

B.weak and disappointing

C.aggressive and warlike

D.stubborn and luxurious小题4:Which of the following might serve as the best title of the passage?

A.The legend of Thatcher, the “Iron Lady".

B.Why Big Ben falls silent for the first time?

C.Who will pay for such a luxurious funeral?

D.London will witness its biggest political funeral.

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