A 35-year-old man presents to the emergency department complaining of 18 hours of severe, steady epigastric abdominal pain after heavy meal. The pain is radiating to his back and does not relieved by vomiting. On physical examination, mild abdominal guarding and epigastric tenderness can be elicited on palpation, with hypoactive bowel sounds. Laboratories show a total white blood cell count of 17,200/mm3with 88% polymorphonuclear cells,and 10% lymphocytes, an alanine aminotransferase

试卷相关题目

• 1Grey-Turner征是指

  A.上腹可扪及肿块，有肌紧张及反跳痛

  B.明显腹胀，肠鸣音稀少而低

  C.急性胰腺炎时见胁腹皮肤呈灰紫色斑

  D.急性胰腺炎时见脐周皮肤青紫

  E.胆总管或壶腹嵌顿性结石时出现黄疸

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• 2急性胰腺炎假性囊肿形成的时间一般是病后

  A.3～4小时

  B.24小时

  C.3～4天

  D.3～4周

  E.3～4个月

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• 3急性胰腺炎诊断中，不正确的是

  A.血清淀粉酶在发病后1～12小时开始升高

  B.血清脂肪酶在发病后24～48小时开始升高

  C.血清淀粉酶值高于128U(Winslow法）

  D.血清淀粉酶值高低与病情轻重成正比

  E.尿清淀粉酶在发病后12～24小时后上升

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• 4Which is the most valuable item to distinguish severe acute pancreatitis from mild one

  A.referred pain

  B.jaundice

  C.fever

  D.Cullens sign

  E.Vomiting

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• 5下列有关急性胰腺炎的各项检查中，最早出现异常的是

  A.血清脂肪酶

  B.血清正铁血白蛋白

  C.血清淀粉酶

  D.尿淀粉酶

  E.血清乳酸脱氢酶

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