首页/ 题库 / [单选题]男性,31岁。两年前因胃溃疡穿孔行修补术的答案

男性,31岁。两年前因胃溃疡穿孔行修补术,1年后溃疡复发并穿孔行毕Ⅰ式胃大部切除术。术后半年又因胃溃疡穿孔行残胃部分切除、毕Ⅱ式胃空肠重建术。术后上腹仍有烧灼样痛,服用H受体阻滞剂,疼痛得不到缓解。此时应考虑()。

单选题
2021-07-31 05:58
A、应激性溃疡
B、幽门螺杆菌溃疡
C、多发性溃疡
D、复合性溃疡
E、Zollinger-Ellison综合征
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正确答案
E

试题解析
胃溃疡3次穿孔,经3次手术,其中两次均为胃切除(毕Ⅰ式和毕Ⅱ式)手术,仍有溃疡病发作症状,并且服用抑酸药无效,提示为顽固性溃疡,应首先考虑胃泌素瘤(Zollinger-Ellison综合征)的诊断。

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