首页/ 题库 / [单选题]男性,60岁,2天前上腹持续性胀痛,12的答案

男性,60岁,2天前上腹持续性胀痛,12小时后右下腹痛,阵发加剧,腹胀。近4年来常有饭前上腹灼痛,常在冬春季发作。查体:38℃,脉搏120次/分,血压150/90mmHg。腹稍胀,满腹有压痛,但右下腹更明显,有肌紧张及反跳痛,肝浊音界存在,肠鸣音未听到,白细胞13×109/L,中性粒细胞88%。右下腹穿刺抽得黄色混浊液2ml,镜检示脓细胞(++)高倍镜。最可能的诊断是()

单选题
2021-12-27 18:10
A、急性胰腺炎
B、阑尾炎穿孔并弥漫性腹膜炎
C、胃十二指肠溃疡穿孔
D、绞窄性肠梗阻
E、伤寒肠穿孔
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正确答案
B

试题解析

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