首页/ 题库 / [单选题]男,42岁。间断上腹痛10年,空腹痛明显的答案

男,42岁。间断上腹痛10年,空腹痛明显,伴反酸;半小时前突发腹痛加重,向后背放射,伴大汗。查体:血压80/50mmHg,腹肌紧张呈板状,上腹压痛、反跳痛阳性,肠鸣音低弱,肝浊音界消失,此病人最可能的诊断是()

单选题
2021-12-27 19:42
A、急性胰腺炎
B、消化性溃疡穿孔
C、急性胆囊炎
D、急性心肌梗死
E、急性阑尾炎穿孔
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正确答案
B

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简要病史:患者,男,42岁,发作性胸骨后疼痛1周,加重3小时急诊就诊。初步诊断:心绞痛。要求:你作为住院医师,请围绕以上简要病史,写出应该询问的患者现病史及相关病史的内容。
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