男性,50岁,十二指肠溃疡病史10年,近1个月加重,今晨突然腹痛难忍,呈刀割样,自上

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问题:

男性,50岁,十二指肠溃疡病史10年,近1个月加重,今晨突然腹痛难忍,呈刀割样,自上腹开始,很快扩散至全腹,来院就诊。见患者面色苍白,冷汗,肢体发凉.BP14/12kPa,脉搏90次/分,查体时病人表情痛苦,不敢深呼吸,全腹压痛,反跳痛,肌紧张明显。

该患者为确诊,宜作下列哪项检查()。

A.立位腹平片

B.超检查

C.血清淀粉酶测定

D.血常规检查

E.肛门指诊

考点:普通外科学(医学高级)胃十二指肠疾病胃十二指肠疾病题库
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To Err Is Human by Lewis ThomasEveryone must have had at least one personal experience with a computer error by this time. Bank balances are suddenly reported to have jumped from $379 into the millions, appeals for charitable contributions are mailed over and over to people with crazy sounding names at your address, department stores send the wrong bills, utility companies write that they’’re turning everything off, that sort of thing. If you manage to get in touch with someone and complain, you then get instantaneously typed, guilty letters from the same computer, saying, "Our computer was in error, and an adjustment is being made in your account."These are supposed to be the sheerest, blindest accidents. Mistakes are not believed to be the normal behavior of a good machine. If things go wrong, it must be a personal, human error, the result of fingering, tampering a button getting stuck, someone hitting the wrong key. The computer, at its normal best, is infallible.I wonder whether this can be true. After all, the whole point of computers is that they represent an extension of the human brain, vastly improved upon but nonetheless human, superhuman maybe. A good computer can think clearly and quickly enough to beat you at chess, and some of them have even been programmed to write obscure verse. They can do anything we can do, and more besides.It is not yet known whether a computer has its own consciousness, and it would be hard to find out about this. When you walk into one of those great halls now built for the huge machines, and standing listening, it is easy to imagine that the faint, distant noises are the sound of thinking, and the turning of the spools gives them the look of wild creatures rolling their eyes in the effort to concentrate, choking with information. But real thinking, and dreaming, are other matters. On the other hand, the evidence of something like an unconscious, equivalent to ours, are all around, in every mail. As extensions of the human brain, they have been constructed the same property of error, spontaneous, uncontrolled, and rich in possibilities.

The author compared the faint and distant sound of the computer to the sound of thinking and regarded it as the product of

A.dreaming and thinking.

B.some property of errors.

C.consciousness.

D.possibilities.

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脊髓灰质炎病毒主要经过下列哪一个途径传播()

A.空气飞沫途径

B.血液途径

C.破损皮肤

D.粪—口途径

E.性传播

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心肌超声造影的原理是

A.微气泡直径小于5um 

B.微气泡从末梢静脉经下腔静脉进入右心 

C.微气泡再从右心经肺循环进入左心 

D.微气泡最后进入冠状动脉的细小分支 

E.以上均正确

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到肯德基、麦当劳吃快餐,因为是现做现卖,所以不担心食品的安全问题.______.

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寿险中,要求投保人对保险标的在()是具有可保利益。

A.投保时

B.理赔时

C.投保时或理赔时

D.投保时和理赔时

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