问题 单项选择题

患者男,70岁。急性阑尾炎穿孔手术治疗后5天。持续腹胀,肛门无排气,排便,全腹有轻压痛及反跳痛,肠鸣音消失,腹部X线显示小肠,结肠胀气。可能的诊断为()

A.粘连性肠梗阻

B.急性小肠不全性梗阻

C.麻痹性肠梗阻

D.急性小肠高位梗阻

E.小肠低位梗阻

答案

参考答案:C

解析:腹部手术中的机械性刺激是发生麻痹性肠梗阻的重要因素。病人在手术时,因肠管及其系膜受牵拉刺激后蠕动功能暂时丧失,或肠壁有不协调的蠕动存在,但未形成将肠内容物推送的节律时,病人往往在术后出现腹部胀气,有时还会出现腹痛。X线平片检查时,往往全部肠襻有充气扩张现象。

单项选择题
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How many of us would temp for three years while we waited for the perfect job Not many of us, perhaps. But Wentworth Miller, the "Prison Break" star, said he chose to wait even longer time (1) he found the right job.
"Actually I think it might have been three or four years until I was lucky enough to get guest (2) on TV shows," said Miller, 34, who rose to international stardom (3) to "Prison Break" in 2006. That kind of patience and p will was portrayed in "Prison Break". Miller (4) engineering wizard Michael Scofield, who tries everything to break out of a Chicago (5) with his brother. Miller said he was fond of his character, (6) he said "exists in shades of grey".
Miller comes from a (7) of teachers. He said he didn’t seem fated for a career in the arts, (8) his passion for acting. After (9) from Princeton with an English degree, he moved (10) his parents’ request to Los Angeles to look for a stable life. He started (11) in a little company that made television movies. This (12) simply faxing, filing, walking the boss’ dog and going to the store for the boss’ lunch. Every weekend during the summer, Miller (13) go to the office (14) he didn’t have air-conditioning. "I would hang (15) in the conference room and set up camp and rob the company kitchen," recalled Miller.
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Now, he’s a hot star and has people coming up to him at film festivals saying, "Weren’t you the one who (21) to stand by the copy machine "
"That was tough, but I’m glad I have that perspective. Because now I’m at a point (22) big shots laugh at all my jokes and I think, You know, I got coffee for people like you for six years’. So I know what’s (23) , because I’ve seen the other side." But what if, when he was offered the corporate job, there had been more money "It was never about the (24) There’s a kind of excitement that comes along with acting. I can’t find it anywhere else. Even if I had to go back to temping, even if this is not the beginning of an amazing career, I would not (25) making that jum
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