问题 单项选择题

男性,45岁,酗酒后8h出现中上腹疼痛,放射至两侧腰部。伴恶心、呕吐。体检:腹部有压痛、肌紧张及两侧腰腹部出现蓝棕色斑,血压75/55 mmHg,脉搏110/min。

对诊断困难者应进一步采取()。

A.剖腹探查

B.ERCP检查

C.抗感染治疗下严密观察

D.抗休克治疗

E.腹腔穿刺

答案

参考答案:E

解析:

[解题思路] 根据患者酗酒后出现的典型临床表现,可初步诊断急性胰腺炎。首选血清淀粉酶检查。超过正常3倍可确诊。对诊断困难者可行腹腔穿刺,检测腹水淀粉酶活性有利于急性胰腺炎的诊断。在诊断未确定前不应采用吗啡类止痛药,因吗啡可引起奥狄括约肌痉挛收缩,使胆道排空受阻,胆汁逆流,加重病情。 [命题规律] 考察“急性胰腺炎的诊治”。必须掌握。 [知识拓展] 急腹症鉴别

阅读理解

Nick is a 14-year-old school boy. His life is full of exams and studies on weekdays. He has little free time. He thinks playing computer games is the best way to make him relax. When he has free time, he sits in front of the computer. Just like that way, he neither eats nor drinks for several hours.

Last weekend, he played games on the computer again. He was too excited and didn’t want to move. He didn’t have anything for six hours. When he had to go to the bathroom, he found he could not move. He was taken to the hospital. The doctor told him he should do some more different kinds of activities. In other words, he needs more exercise and outdoor activities to make him have a healthy body.

After coming back from the hospital, Nick follows the doctor’s advice. He often plays soccer with his friends. Sometimes he still plays computer games on weekends, but he never does it for long. Now, he lives a happy and healthy life.

小题1:How old is Nick?

A.13.

B.14.

C.15.

D.16.小题2:Nick likes _________ in his free time.

A.riding a bike

B.playing the guitar

C.playing computer games

D.having a school trip小题3:Who took Nick to the hospital?

A.His dad.

B.His mom.

C.His neighbor.

D.We are not sure.小题4:Why was Nick taken to the hospital?

A.Because he was too excited.

B.Because he had a cold in the morning.

C.Because he was too nervous of his studies.

D.Because he couldn’t move after playing computer games so long.小题5:Nick should ________ to follow the doctor’s advice.

A.go to a movie

B.listen to music

C.take more exercise

D.play computer games

单项选择题