患者男性，45岁。饱餐酗酒后数小时，上腹出现持续性剧痛并向左肩、腰背部放射，伴有恶心呕吐，12小时后来院就诊。初步诊断为急性胰腺炎。
此患者确诊为急性出血坏死性胰腺炎，最常见和最需要积极处理的并发症是
A．胰周脓肿
B．败血症
C．休克
D．化脓性腹膜炎
E．急性肾衰竭
参考答案：C
解析：急性坏死性胰腺炎最常见最危险的并发症是休克。故选C。
Have you ever listened to young children talking in the playground? There are always boasting. They say things like, “My Dad’s car is bigger than your Dad’s” and “My mom is smarter than yours.” They __1__ like to boast about their families. There were three little boys, Harry, Td and Gavin, who were always __2__. Gavin was the worst. Everything about his family was always __3__ or the biggest or the most expensive. __4__ other others said, he could always go one better. One day when they were walking to __5__ Harry said, “My father has a bath twice a week.” Ted spoke next. “That’s __6__,” he said. “Having a bath twice a week is __7__. My father has a bath every day, sometimes twice a day.” Ted looked at Gavin. Now it was his __8__. But what could he say? “This time I’m going to win.” Ted thought. Gavin didn’t know what to say. He couldn’t say that his father had a bath three times a day. That was __9__. He walked on his silence. Ted smiled at Harry, and Harry smiled back. They were sure that for once they had __10__ Gavin. They reached the school gates. Still Gavin said nothing. “We’ve won,” Ted said to Harry, but he spoke too soon. Gavin said, “My Dad’s do clean that he doesn’t have to bathe at all.”
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