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1female,64 years, she was admitted into hospital with the chief complain of repeat right upper abdominal pain for 12 years. The pain was not severe but radiated to the right shoulder. No jaundice, no fever. No acid regurgitation, no hiccups or belching. It usually went away without any treatments. In the recent 5 months,the pain became persistence. Moreover,she felt fatigue and lost of the body weight. PE: right upper quadrant abdominal tenderness. 4cm×4cm mass can be palpable just under the righ
A.peritoneum Tb
B.peptic ulcers
C.gallbladder cancer
D.gastric cancer
E.gallbladder stones and chronic pancreatitis
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2胆总管的末端位于胰头的哪一部位( )
A.前方
B.后方
C.内侧
D.实质中
E.外侧
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3梗阻性黄疸病人术前应补充哪种维生素以防出血( )
A.维生素A
B.维生素B
C.维生素C
D.维生素K
E.维生素E
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4下列急性胆道感染的常见严重并发症中,哪一项应除外( )
A.急性坏死性胰腺炎
B.胆道出血
C.感染性休克
D.肝脓肿
E.硬化性胆管炎
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5慢性胆囊炎诊断的依据,下列哪一项是错误的( )
A.有慢性胃病史伴消化不良
B.多伴有胆结石
C.十二指肠引流管内有混浊胆汁
D.超声检查发现胆囊增大或缩小
E.有脂肪泻
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6女性,42岁,右上腹阵发性剧烈绞痛8小时,疼痛向右肩背部放射,伴恶心、呕吐。查:T37.5℃,P96次/分,BP110/60mmHg,右上腹压痛,轻度反跳痛与肌紧张,Murphy征阳性。B超检查:胆囊增大,壁厚,并可见结石光团。该病人的最佳治疗方法是( )
A.抗炎、补液治疗
B.急诊胆囊切除术
C.急诊胆囊造瘘术
D.急诊胆囊切除、胆总管切开探查T管引流术
E.B超引导下经皮经肝胆囊穿刺
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