左腰部挤压伤后6小时，恶心呕吐伴腹痛，左腹壁紧张及局部压痛(    )

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• 1跌倒在椅角上后数小时，上腹部剧痛，放射至肩胛部，有内出血及腹膜炎体征(    )

  A.创伤性脾破裂

  B.创伤性肝脾破裂

  C.创伤性胰腺损伤

  D.创伤性小肠损伤

  E.创伤性结肠损伤

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• 2车轮压伤上腹部后1小时，休克、明显贫血貌(    )

  A.创伤性脾破裂

  B.创伤性肝脾破裂

  C.创伤性胰腺损伤

  D.创伤性小肠损伤

  E.创伤性结肠损伤

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• 3Which of the following statement about abdominal trauma is incorrect?(    )

  A.All liver injury require immediate surgery

  B.drainage of uncoagulated blood is a convincing sign for exploratorylaparotomy

  C.70%〜80% abdominal trauma require surgical treatment

  D.The diagnosis of intestinal perforation can be rolled out by CT scan which shows no sign of pneumoperitoneum

  E.Peritonitis can be detected during the early phase of intest inalinjury

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• 4After upper abdominal injury， a man complains pain in right upper quadrant and back and also bloody vomitus. The X ray examination of abdomen shows retroperitoneal pneumatosis. Which diagnosis should be suspected(    )

  A.Liver or gallbladder rupture

  B.Right-side colon injury

  C.Right kidney injury

  D.Stomach injury

  E.Duodenum injury

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• 5X-ray reveals elevation of the right diaphragm with limited motion in a case of closed abdominal traum

  A.What diagnosis is indicated?( )A.Gastricrupture

  B.Lienal rupture

  C.Hepatic rupture

  D.Duodenal rupture

  E.Flexura colidextra rupture

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• 6十二指肠降段破裂(    )

  A.尿淀粉酶升高

  B.碱性磷酸酶升高

  C.腹膜后组织积气

  D.创伤后直肠指诊指套染血

  E.左肩部放射性痛

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• 7直肠破裂(    )

  A.尿淀粉酶升高

  B.碱性磷酸酶升高

  C.腹膜后组织积气

  D.创伤后直肠指诊指套染血

  E.左肩部放射性痛

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• 8脾破裂(    )

  A.尿淀粉酶升高

  B.碱性磷酸酶升高

  C.腹膜后组织积气

  D.创伤后直肠指诊指套染血

  E.左肩部放射性痛

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• 9胆道阻塞(    )

  A.尿淀粉酶升高

  B.碱性磷酸酶升高

  C.腹膜后组织积气

  D.创伤后直肠指诊指套染血

  E.左肩部放射性痛

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• 10伤后腹腔穿刺抽出物为不凝固血液，可以初诊为哪种损伤(    )

  A.腹内实质性脏器损伤

  B.肠道损伤

  C.胃破裂

  D.胆囊破裂

  E.膀胱破裂

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