先天性肛门闭锁、直肠尿道瘘患儿，生后三天来院诊治，最合理治疗方案，应是（    ）

试卷相关题目

• 1先天性胆道闭锁手术治疗的最适合年龄是（    ）

  A.2个月以内

  B.2〜6个月

  C.6〜12个月

  D.1〜3岁

  E.3〜6岁

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• 2先天性巨结肠原发病位置在（    ）

  A.扩张段与肥厚段

  B.远端狭窄肠段

  C.回盲部

  D.全结肠

  E.乙状结肠

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• 3先天性肠闭锁钡灌肠显示（    ）

  A.结肠直肠有扩张段和狭窄段

  B.结肠可见“杯口状”阴影

  C.结肠瘪细呈胎儿型结肠

  D.回盲部不在右下腹

  E.出现“龛影”

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• 4先天性肥厚性幽门狭窄病理改变是（    ）

  A.幽门环肌肥厚

  B.幽门纵肌肥厚

  C.幽门壁各层肥厚尤以环肌为主

  D.幽门壁各层肥厚尤以纵肌为主

  E.幽门肌层瘢痕狭窄

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• 5女性，60岁，脐周持续性腹痛3天伴频繁呕吐，腹胀不明显，肠鸣音活跃，诊断为急性肠梗阻。试问在肠梗阻的手术探查中，下列除哪种情况外其预后不算最差（    ）

  A.梗阻上段肠管扩张明

  B.肠浆膜不光滑，粗糙

  C.肠系膜上动脉栓塞

  D.小肠上段梗阻

  E.一组肠袢紧密粘连又无法分离粘连

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• 6Which part of the intestine is the predilection site of Crohns disease?（    ）

  A.Jejunum

  B.Terminal ileum

  C.Ileocecum

  D.Duodenum

  E.Rectum

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• 7A 50-year male with paroxysmal abdominal pain for 6 days，nausea and abdominal distension for days admitted to the ER. Physical examination showed abdominal bulge and visible peristalsis. Active bowl sound and gurgling could be heard by auscultation.  X-ray showed fluid level in the dilated small intestine in the middle abdomen and a small a-mount of gas in the colon. The most possible diagnosis is ：（    ）

  A.Paralytic intestinal obstruction

  B.Lower-level small intestinal obstruction

  C.Higher-level small intestinal obstruction

  D.Necrostic enteritis

  E.Sigmoid volvulus

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• 8If the initial part of SMA is embolized，which part of intestine will be involved?（    ）

  A.duodenum，jejunum，ileum

  B.small intestine and colon

  C.small intestine，cecum and ascending colon

  D.ascending colon and transverse colon

  E.descending colon，sigmoid colon and rectum

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• 9The most common involved vessel of mesenteric vascular ischemic diseases is（    ）

  A.Superior mesenteric artery

  B.Superior mesenteric vein

  C.Inferior mesenteric artery

  D.Inferior mesenteric vein

  E.All above

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• 10A 60-year- old female presents with continued periumbilical stomachache with vomiting for one week. Bowel sound is active. X-ray abdominal plain film reveals colonic obstruction. Which of the following is NOT a common cause of large intestine obstruction?（    ）

  A.Enterostenosis

  B.Ulcerative colitis

  C.Indigitation

  D.Volvulus

  E.Tumor

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