首页/ 题库 / [单选题]男，58岁，进餐后突发性上腹刀割样剧痛2的答案

男，58岁，进餐后突发性上腹刀割样剧痛2小时。全腹压痛，板状腹，肝浊音界及肠鸣音消失。X线显示膈下新月形游离气体。既往有胃溃疡史25年。下列治疗中，最佳的手术方式是（）

单选题
2021-12-25 23:25
A、胃大部切除术
B、大网膜覆盖、穿孔缝合术
C、迷走神经切断加胃窦切除术
D、高选择性迷走神经切断术
E、缝合穿孔后行迷走神经切断加胃空肠吻合术
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正确答案
A
试题解析
本病诊断为胃溃疡合并穿孔，因此首选术式为：毕罗I式胃大部分切除术。
标签： 消化内科 精神科住院医师 普通外科（选择轮转科目） 北京住院医师麻醉科Ⅰ阶段
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