女性，40岁，反复发作性上腹疼痛4年，多次于夜间痛醒，进食后疼_爱下问搜题

搜题请搜索小程序“爱下问搜题”

问题单项选择题

女性，40岁，反复发作性上腹疼痛4年，多次于夜间痛醒，进食后疼痛可暂时缓解。突发上腹剧痛2小时，入院查体：体温37.9℃，全腹压痛，腹肌紧张，移动性浊音(±)，肠鸣音消失。实验室检查；WBC 11×109/L，血清淀粉酶160U/L(Somogyi法)。该病人最可能的诊断是

A．高位急性阑尾炎
B．溃疡病穿孔
C．急性胰腺炎
D．急性胆囊炎
E．绞窄性肠梗阻

答案

参考答案：B

解析：空腹疼痛及夜间疼痛多为十二指肠球部溃疡的症状，目前患者出现板状腹，考虑弥漫性腹膜炎，查淀粉酶不高，结合既往病史，应为溃疡病穿孔。

完形填空

One day a mother rat and her babies were out in an open field. They were playing and having a good time when   26  a hungry cat came on the scene! It hid   27  a big tree and then   28  forward through the tall grass   29  it could almost hear them talk. 30 the mother rat and her babies knew   31  had happened, the cat   32 from its hiding place and started to run   33  them.
The mother rat and her babies all   34  at once. They hurried towards   35  home, which was under a pile of large stones.   36  the baby rats were   37  frightened that they could not run very   38 . Closer and closer the cat came. In no time the cat would be upon   39 . What was to be done?
The mother rat stopped running,   40  round and faced the cat,   41，"Bow Wow! Bow Wow! "just like   42 angry dog. The cat was so surprised and   43  that it ran away.
The mother rat turned to the babies, "Now you see 44 important it is to learn 45   second language!"

A．crawled(爬)

A．runing away

D．to run away

单项选择题

急性心包炎时典型的心包摩擦音特点是（）

A.心尖部最清楚

B.短促收缩期单相的粗糙杂音

C.瘦弱体型杂音减弱

D.仰卧位比俯卧位明显

E.以上都不是