问题 问答题 案例分析题

柏先生,36岁。十二指肠溃疡病史4年,每年的初秋至次年早春多发,呈典型餐前及夜间上腹部疼痛,进餐后缓解,伴嗳气、返酸。2周前腹痛再发,近2日病人出现上腹持续性胀痛,餐后加重,伴呕吐大量酸、酵宿食。体检:体温36.8℃,脉膊80次/分,血压100/70mmHg。腹软,中上腹有轻度压痛,无反跳痛,肝脾未及,可见胃蠕动波及胃型,上腹部振水音阳性。

该病人病情发生了什么变化?

答案

参考答案:

病人十二指肠溃疡并发了幽门梗阻。

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单项选择题

Another critical factor that plays a part in susceptibility to colds is age. A study done by the University of Michigan School of Public Health revealed particulars that seem to hold true for the general population. Infants are the most cold-ridden group, averaging more than six colds in their first year. Boys have more colds than girls up to age three. After the age of three, girls are more susceptible than boys, and teenage girls average three colds a year to boys’ two.
The general incidence of colds continues to decline into maturity. Elderly people who are in good health have as few as one or two colds annually. One exception is found among people in their twenties, especially women, who show a rise in cold infections, because people in this age group are most likely to have young children. Adults who delay having children until their thirties and forties experience the same sudden increase in cold infections.
The study also found that economics plays an important role. As income increases, the frequency at which colds are reported in the family decreases. Families with the lowest income suffer about a third more colds than families at the upper end. Lower income generally forces people to live in more cramped quarters than those typically occupied by wealthier people, and crowding increases the opportunities for the cold virus to travel from person to person. Low income may also adversely influence diet. The degree to which poor nutrition affects susceptibility to colds is not yet clearly established, but an inadequate diet is suspected of lowering resistance generally.

The word "cramped" underlined in Paragraph 3 most probably means ______ .

A.cheap
B.crowded
C.depressing
D.simple