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1、双击答案栏的空白处即可查看答案问题选项答案1.胆总管的血液供应主要来自 A 肝固有动脉B 胆囊动脉C 胃十二指肠动脉D 肝右动脉E 肝左动脉 C 2.胆囊动脉多源于 A 肝左动脉B 肝固有动脉C 胃十二指肠动脉D 肝右动脉E 胃右动脉 D 3.肝外胆道的解剖特点中，下列哪项是错误的 A 胆囊管常有变异B 胆囊动脉常有变异C 胆总管末端多与主胰管汇合D Oddi括约肌由胆胰管壶腹部括约肌构成E 胆囊分为颈体底三部 D 4.B 型超声（BUS）对哪种结石诊断准确率高?A 胆囊结石B 胆总管结石C 肾结石D 肝内胆管结石E 胰腺结石 A 5.对疑有胆结石所致梗阻性黄疸较深者，应选择哪种检查法较合适?
2、A 口服胆囊造影B 静脉胆道造影C ERCP D PTC E 气钡对比十二指肠造影 D 6.梗阻性黄疸时，BUS显示肝内胆管扩张，胆总管直径2cm，进一步明确梗阻部位的检查是 A 放射性核素胰腺扫描B 低张十二指肠造影C PTC D ERCP E MRI C 7.梗阻性黄疸时，BUS显示胆总管和肝内胆管均不扩张，为明确诊断应选择哪项检查 A 放射性核素胰腺扫描B PTC C 低张十二指肠造影D ERCP E C T D 8.胆囊结石临床表现各异，主要取决于 A 结石的大小、部位、梗阻与否、有无感染B 结石的大小及部位、嵌顿与否C 体位的改变或静卧状态D 进油腻食物后E 结石嵌顿于胆囊颈部 A
3、9.Murphy 征阳性则提示 A 细菌性肝脓肿B 急性胆管炎C 肝总管结石D 左肝管结石E 急性胆囊炎 E 10.诊断胆囊结石的简单而可靠的方法是 A BUS B ERCP C PTC D 口服法胆囊造影E 十二指肠引流术 A 文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10
4、O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文
5、档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H
6、10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1
7、 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7
8、W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5
9、X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:
10、CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A1011.引起右上腹胆绞痛及黄疸的最常见的原因是 A 胆道虫回虫症B 急性胆囊炎C 胆总管结石D 先天性胆总管扩张E 复发性慢性胰腺炎 C 12.Charcot三联征间歇发作最大的可能是 A 壶腹部癌B 肝细胞癌C 胆总管结石D 黄疸型肝炎E 细菌性肝脓肿 C 13.胆管结石和急性胆管炎急性发作的典型症状是 A 腹痛、呕吐、寒热B 腹痛、呕吐、黄疸
11、C 腹痛、黄疸、腹泻D 腹痛、腹胀、昏迷E 腹痛、黄疸、寒热 E 14.胆道手术时，下述哪项不是胆总管探查的指征 A 胆总管，肝总管、肝胆管结石B 黄疸或黄疸病史C 胰头肿大、变硬D 胆总管增厚变粗E 胆囊积液 E 15.急性胆囊炎致病菌的主要来源于 A 肠道逆行入侵胆囊B 淋巴管道C 邻近脏器D 经门静脉E 经胃十二指肠动脉 A 16.急性胆囊炎最严重的并发症是 A 细菌性肝脓肿B 胆囊积脓C 胆囊坏疸穿死致胆汁性腹膜炎文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A1
12、0文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P1
13、0H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9
14、H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 H
15、Y7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7
16、W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编
17、码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10
18、K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10D 急性胰腺炎E 胆囊十二指肠内瘘 C 17.急性梗阻性化脓性胆管炎最常见的原因是 A 胆总管结石B 胆总管末端狭窄C 胆道出血继发感染D 胆总管癌E
19、 先天性胆总管扩张症 A 18.急性梗阻性化脓性胆管炎，最关键的治疗是 A 输液、输血维持有效血容量B 纠正代谢性酸中毒C 静脉输入大量抗生素D 胆道减压引流解除梗阻E 急诊行胆囊切除术 D 19.急性梗阻性化脓性胆管炎的治疗一般不宜采取 A 胆囊透口术B 纠正水电解质和酸碱平衡失调C 胆总管探查取石去除病灶D 使用有效足量的抗生素E 及时合理使用多巴胺 A 20.胆道蛔虫症治疗不恰当的是 A 胆囊切除术B 针刺足三里C 解痉利胆驱虫D 胆总管探查取虫引流E 手术后驱虫治疗 A 21.肝外胆管癌发生率最高的部位是 A 左肝管B 下段胆管C 中段胆管D 上段胆管E 胆囊管 D 文档编码:CJ10
20、O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文
21、档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H
22、10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1
23、 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7
24、W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5
25、X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:
26、CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8
27、A1022.Courvoisier征阳性的疾病最可能是 A 胆管上段癌B 胆管下端癌C 右肝管级支癌D 胆囊管癌E 胆囊体癌 B 23.男性，50 岁，3 年前曾行胆总管切开取石术，现持续黄疸一个月，肝大肋下3cm，血清胆红素为 70mol.L，BUS显示胆总管直径2cm，下述何种检查方法是最优:A 口服法胆囊造影术B 静脉法胆道造影术C 低张性十二指肠造影D C T E PTC E 24.女者，49 岁，于两年前曾行胆总管探查取石，T形管引流术，术后至今先后发作性右上腹绞痛，黄疸4 次，每次均经消炎疗法而愈，此次又发作性疼痛，黄疸，肝大肋下2cm，血清胆红素为20mol/L，B US 显示直
28、径为1.0cm，为进一步诊断应采用何种方法 A PTC B ERCP C 低张性十二指肠造影D MRI E 静脉法胆道造影 B 25.男性，15 岁，突发心窝部阵发性钻顶样疼痛6 小时，疼痛时大汗淋漓，辗转不安，痛止时又平息如常，体检:剑突偏右方有深在压痛，无腹肌紧张及反跳痛，为明确诊断应采取简单安全的方法是 A BUS B 右上腹 X线平片C 测定血清淀粉酶D 十二指肠引流液检查E ERCP A 26.女性，42 岁，3 年来经常夜间上腹部不适，2 日前进油腻食，突然右上腹部阵发性绞痛伴恶心，入院时体温38，巩膜轻度黄染，右上腹肌紧张，压痛明显，肠鸣音减弱，WBC 1610 的 9 次方/L
29、，血清淀粉酶为128 温氏单位，应首先考虑诊断为何种疾病 A 高位急性阑尾炎B 急性胰腺炎C 溃疡病穿孔D 急性化脓性胆囊炎文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3
30、HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O
31、7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档
32、编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H1
33、0K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1
34、ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W
35、5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X
36、9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10E 胆道蛔虫症 D 27.女性，60 岁，诊断为急性胆囊炎，经非手术治疗已5 天，目前仍疼痛加剧，伴高热，右上腹广泛压痛，反跳痛，腹肌紧张，肠音减弱，体温39，白细胞计数1810 的 9 次方/L，应做 A 胆囊切除术B 胆囊切除及胆总管引流C 胆囊造瘘及腹腔引流术D 胆囊切除及腹腔引流术E 胆总管十二指肠引流术 C 28.女性，45 岁，突发右上腹及心窝部刀割样绞痛伴阵发性加剧一天，发病后12 小时寒战、高热，巩膜黄染，剑突偏右侧深压痛，右上腹轻
37、度肌紧张，体温38，WBC 1410 的 9 次方/L 血清总胆红素30mol/L，尿胆元（-），尿胆素（+），应诊断为 A 溃疡病穿孔B 急性胰腺炎C 急性胆囊炎D 胆总管结石E 高位阑尾炎 D 29.女性 43 岁，突发右上腹剧痛并阵发性加剧3 天，寒战高热，恶心呕吐。体检:全身黄染，体温 39，脉搏 120 次/分，血压 80/60mmHg，谵妄，神志不清，剑突偏左腹肌紧张，肝肋下2cm，WBC 15 10 的 9 次方/L，中性 80%血清总胆红素50 mol/L，本例治疗首选 A 抗休克，抗感染治疗B 胆囊切除，腹腔引流术C 胆囊造口术D 胆总管减压引流E 溃疡病穿孔缝合 D 30.
38、女性，43 岁，因右上腹阵发性绞痛，伴恶心呕吐4 小时来院。检查:体温 37，右上腹深在轻度压痛，无腹肌紧张，Murphy 征阴性，为确诊进一步检查应首选 A 白细胞计数和分类B 腹部 X线平片C BUS D 测血清淀粉酶E PTC C 31.女性，47 岁，胆囊结石病史4 年，曾先后发作性胆绞痛4 次，B US显示胆囊内充满型结石。首选的治疗方法是下列哪一种文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 Z
39、R6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5
40、U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9
41、M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ
42、10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A1
43、0文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P1
44、0H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9
45、H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10 A 口服排石饮液B 口服熊去氧胆酸片C 口服利胆素片D 胆囊切除术E 经皮胆镜取石术 D 32.男性，47 岁，右上腹痛伴有明显黄疸，B US显示肝外胆管及肝内肝管均不扩张，为确定诊断应选择哪一项检查 A 核素肝
46、扫描B 十二指肠低张造影C PTC D ERCP E MRI D 33.男性，10 岁，突发剑突下阵发性剧烈绞痛3 小时，发作时辗转不安，呻吟痛苦，伴恶心呕吐，发作过后如常人。检查无发热无黄疸，腹平软无明显压痛，白细胞计数正常，应诊断为何病 A 急性胃炎B 急性胆囊炎C 肠套叠D 胆道蛔虫症E 胃溃疡穿孔 D 34.男性，60 岁，进行性加重的黄疸已1 月，伴有上腹部胀痛，恶心呕吐，体重减轻。检查:周身黄染，肝大肋下4cm，可扪及扩大的胆囊，无触痛。Courvoisier征阳性，BUS 显示肝外胆管扩张，胰头部无肿块，此病人可诊断为 A 胆囊癌B 胰头癌C 幽门管癌D 胆管癌E 肝细胞癌 D
47、35.男性，43 岁，突然右上腹绞痛，并出现寒战高热，于16 小时后出现明显黄疸。检查:意识尚清楚，巩膜及周身黄染，B P130/70mmHg，体温 38.5，右上腹轻度压痛，此病最可能为 A Courvoisier征B Murphy 征C Charcot征D Grey-Turner征E Reynauld征文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X
48、9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:C
49、J10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A
50、10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P10H10K8A10文档编码:CJ10O7W5X9M3 HY7W5U2W9H1 ZR6P