问题
单项选择题 A3/A4型题
男性，3岁。右腹股沟可复性包块1年余，玩耍后不停哭闹伴呕吐6小时。查体：右侧阴囊肿胀，内可触及肿块，肿块呈蒂状延至腹股沟部，触痛明显，不可还纳。
采取手术治疗，术中的关键问题在于（）。
A.鉴别是斜疝还是直疝
B.还纳疝内容物
C.疝修补方式
D.判断疝内容物活力
E.止血彻底，防止形成血肿
答案
参考答案：D
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男性，3岁。右腹股沟可复性包块1年余，玩耍后不停哭闹伴呕吐6小时。查体：右侧阴囊肿胀，内可触及肿块，肿块呈蒂状延至腹股沟部，触痛明显，不可还纳。
采取手术治疗，术中的关键问题在于（）。
A.鉴别是斜疝还是直疝
B.还纳疝内容物
C.疝修补方式
D.判断疝内容物活力
E.止血彻底，防止形成血肿
参考答案：D
Some people have a very poor sense of direction. , I am one of them. I a place many times but I may still get lost there the next time. When I was a little girl, I was very shy and asked others the way. And so I used to walk round in circle and hope that by chance I would get to the place I was going to. Now, I am no longer shy to ask people for directions, but I often receive helpless or even wrong information. So I try to avoid giving people wrong directions. If anyone asks the way somewhere, I would say, " Sorry, I am a stranger here." Once on my way to work I by a man. He asked me I could tell him the way to the Friendship Building. I gave him my usual reply. But just as I walked on only a few steps, I realized that he had asked the way to my office building. However, I had no time to turn back and him. I was rushing to meet with someone at my office and I didn't want to keep him . When I just got to my office, the secretary showed in the man who had asked me for directions. Imagine how I was and how surprised he was when we saw each other at the first sight!
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