问题 单项选择题 A3/A4型题

李某,女,72岁。因急性胆囊炎急诊行胆囊切除术,采用经右上腹腹直肌切口。术后出现不明原因的咳嗽和腹胀,第2天晚8点剧烈咳嗽后突然出现切口处有崩裂感,随后有淡血性液体及肠管从切口处涌出。

对该病人的处理措施不正确的是()

A.立即用消毒敷料覆盖伤口及腹内容物;或用消毒碗、盆扣住伤口,急送手术室

B.麻醉后,剪除切口缝线,防缝线割裂肠管

C.冲洗伤口,检查肠管有否损伤

D.切口全层缝合后,再逐一打结,必要时加减张缝合

E.先不予处理,观察后再说

答案

参考答案:E

单项选择题 案例分析题

People born in autumn live longer than those born in spring and are less likely to fall chronically ill when they are older, according to an Austrian scientist, Using census (人口普查) data for more than one million people in Austrian. Denmark and Australia, scientists at the Max Plank Institute for Demographic (人口统计的) Research found the month of birth was related to life expectancy over the age of 50. Seasonal differences in what mothers ate during pregnancy, and infections occurring at different times of the year could both have an impact on the health of a new - born baby and could influence its life expectancy in old age. "A mother giving birth in spring spends the last stage of her pregnancy in winter, when she will eat fewer vitamins than in summer. " said one of the scientists. "When she stops breast - feeding and starts giving her baby normal food, it’s in the hot weeks of summer when babies are inclined to infections of the digestive system. " In Austria, adults born in autumn lived about seven months longer than those born in spring, and in Denmark adults with birthdays in autumn outlived those born in spring by about four months. In the southern hemisphere, the picture is similar. Adults born in the Australian autumn lived about four months longer than those born in the Australian spring. The study focused on people born at the beginning of the 20th century, using death certificates and census data. Although nutrition at all times of the year has improved since then, the seasonal pattern persists.

The term "life expectancy" (Line7) refers to()。

A. the average period that a person may expect to live

B. the length of time for each person

C. the expectations of a person’s life

D. the seasonal changes in a person’s life

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