急性胰腺炎患者在发病2天内出现休克，首选治疗措施应为

试卷相关题目

• 1对坏死型胰腺炎最具诊断价值的是

  A.血脂肪酶增高

  B.血淀粉酶增高

  C.血钙降低

  D.血胆红素增高

  E.B超检查胰腺增大

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• 2在中国，急性胰腺炎最常见的诱发因素是

  A.暴饮暴食

  B.酗酒

  C.胆道疾病

  D.胃肠炎

  E.甲状旁腺功能亢进

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• 3急性胰腺炎时，关于淀粉酶测定的叙述正确的是

  A.只有血、尿淀粉酶增高才能诊断急性胰腺炎

  B.血清淀粉酶在8小时达峰值

  C.血清淀粉酶超过正常2倍可确诊急性胰腺炎

  D.淀粉酶的高低并不一定反映病情的严重程度

  E.尿淀粉酶增高可持续2～4周

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• 4下列有关急性胰腺炎的各项检查中，最早出现异常的是

  A.血清脂肪酶

  B.血清正铁血白蛋白

  C.血清淀粉酶

  D.尿淀粉酶

  E.血清乳酸脱氢酶

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• 5Which is the most valuable item to distinguish severe acute pancreatitis from mild one

  A.referred pain

  B.jaundice

  C.fever

  D.Cullens sign

  E.Vomiting

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• 6急性胰腺炎一般在起病后几小时后血清淀粉酶开始升高

  A.1小时

  B.2小时

  C.6小时

  D.18小时

  E.24小时

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• 7In China,which is the most common cause of acute pancreatitis

  A.Medicine

  B.Parotitis

  C.Hypercalcinemia

  D.Disease of biliary tract

  E.Periampullary tumor

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• 8Which of the following is not true about acute pancreatitis

  A.Abdominal pain is the cardinal symptom of pancreatitis

  B.In China,alcohol drinking is the most common cause

  C.The most common test used to diagnose pancreatitis is an elevated serum amylase

  D.Serum lipase remains elevated longer than amylase

  E.CT imaging of the abdomen is the most important modality in diagnosis,differential diagnosis,and evaluating disease severity of acute pancreatitis

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• 9Down to what percentage of normal pancreatic lipase secretion,the steatorrhea will occur

  A.smaller than 50%

  B.smaller than 40%

  C.smaller than 30%

  D.smaller than 20%

  E.smaller than 10%

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• 10急性胰腺炎的主要诊断依据是

  A.暴饮暴食，过多饮酒

  B.进食过多脂肪食物后

  C.突然发作的上腹部疼痛

  D.血尿淀粉酶升高

  E.腹部CT提示胰腺肿大渗出

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