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1重度肾损伤主要临床表现为( )
A.镜下血尿
B.肉眼血尿
C.腰痛,腹胀
D.不能纠正的休克
E.肉眼血尿,腰部胀痛,血压下降
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2可使盆腔腹膜外的血液渗至会阴部的损伤是( )
A.阴茎筋膜撕裂
B.会阴浅筋膜撕裂
C.腹壁浅筋膜撕裂
D.尿生殖隔撕裂
E.膀胱直肠中隔撕裂
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3骨盆骨折,尿道外口滴血,出现急性尿潴留,哪项检查不宜首选( )
A.尿道造影
B.试行导尿
C.尿道膀胱造影
D.测血压、脉搏
E.腹部查体
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4球部尿道断裂最好的治疗应是( )
A.耻骨上膀胱造瘘
B.留置导尿管
C.多刀切开引流
D.损伤组织切除对端吻合
E.以上都不是
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5球尿道损伤的常见原因有( )
A.挤压伤
B.骑跨伤
C.刀割伤
D.动物咬伤
E.医源性损伤
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6男,40岁,左腰部撞伤后即刻面色苍白,脉细弱,血压70/50mmHg左腰部膨隆,腹平软,导出150ml淡黄色透明尿液,快速输液,输血800ml无好转,哪种损伤可能性大( )
A.脾破裂
B.肝破裂
C.肠破裂
D.肾蒂断裂
E.重度损伤
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7男,46岁,被车撞伤致骨盆骨折,尿道损伤,血压70/50mmHg,脉搏120次/分,入院后最主要治疗什么( )
A.尿道会师术
B.膀胱造瘘术
C.抗休克治疗
D.止痛
E.止血剂应用
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8男,12岁骑跨伤后,不能排尿,尿道流血,应诊断为( )
A.阴茎部尿道损伤
B.球部尿道损伤
C.膜部尿道损伤
D.前列腺部尿道损伤
E.膀胱损伤
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9A 28 years, male, presents with history of pelvic fracture with posterior urethral injury 3 months ago. Patient is on suprapubic catheterization .The urethrography reveals bulbourethral and membranous urethral stricture about 5cm. The next treatment option is( )
A.urethral catheterization
B.urethroplasty
C.urethral anastomosis
D.early urethral reduction surgery
E.transurethral surgery
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1020-year-old,male,presents with gross hematuria and pain in left side of abdomen. History of blunt abdominal injury two hours ago. On examination,he has a pulse rate of 110/min, BP 80/40mmHg. Abdominal examination reveals tenderness and mass in left lumber region. CT scan and ultrasound showed rupture of the right kidney and renal pelvis hemorrhage. The right kidney is normal. The next step is( )
A.blood transfusion and conservative management
B.absolute bed rest and close observation
C.surgical exploration
D.cystoscopy
E.intravenous urogram
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