男，38岁，入院诊断为急性胰腺炎，在恢复过程中，饮肉汤一碗，再

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问题单项选择题

男，38岁，入院诊断为急性胰腺炎，在恢复过程中，饮肉汤一碗，再发上腹部剧痛，注射654-2无效，并出现腹胀。以下处理应是（）。

A.禁食+注射吗啡+输液

B.胃肠减压+输液+哌替啶

C.注射阿托品+阿尼利定（安痛定）

D.胃肠减压+阿托品+输液

E.禁食+输液+注射吗啡阿托品

答案

参考答案：B

解析：此题考察临床诊治水平及相关用药知识的掌握情况。吗啡可使Oddi，s括约肌收缩，不利于胰液引流，可加重病情，故急性胰腺炎时禁用。如病人出现剧烈腹痛可考虑应用哌替啶（度冷丁）。

单项选择题

马克思把社会生产部门分为两大部类，第二部类要实现扩大再生产的条件是（）。

A.Ⅱ（C+V+M）=I（V+△V+M/X）+Ⅱ（V+△V+M/X）

B.Ⅱ（V+M）=ⅡC

C.Ⅰ（V+△V+M/X）=Ⅱ（C+△C.

D.Ⅰ（C+V+M）=Ⅰ（V+M）+Ⅱ（V+M）

阅读理解

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