X-ray showing pneumoretroperitoneum on a patient with closed abdominal injury， which of the following is the most possible injured site?

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• 1Which of the following physical signs or symptoms can be regarded as sign for exploratorylaparotomy for patient with closed abdominal injury?

  A.Abdominal pain

  B.Active bowl sound

  C.Tension of abdominal muscles

  D.Rebound tenderness

  E.Drainage of uncoagulated blood from abdominal cavity

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• 2腹部闭合性损伤时，不支持腹腔内脏损伤诊断的是

  A.有气腹征(腹腔积气）

  B.肠鸣音活跃

  C.腹膜刺激征

  D.移动性浊音(+)

  E.早期出现休克

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• 3女性，20岁，左上腹外伤10小时，自觉腹痛，查体：神清，血压95/60mmHg，左上腹压痛，反跳痛，移动性浊音（±），腹穿(-），以下处理错误的是

  A.B超

  B.再腹穿

  C.严密观察

  D.静脉补液

  E.给予哌替啶止痛

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• 4关于十二指肠损伤，下列哪项是错误的

  A.可以出现严重的腹膜后感染

  B.可以出现腰背部疼痛并向右睾丸放射

  C.早期X线平片右肾和腰大肌模糊

  D.可见腹膜后气泡

  E.骶前扪及捻发音者可以排除十二指肠损伤

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• 5关于创伤后腹膜后血肿，下列哪项是错误的

  A.突出的临床表现是内出血征象、腰背痛和肠麻痹

  B.部分伤者可有Grey-Turner征

  C.积极防治休克

  D.积极防治感染

  E.多数无须剖腹探查

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• 6In case of hepatic rupture resulted from closed abdominal trauma， the part of the liver most likely to be injured is

  A.Left lobe

  B.Right lobe

  C.Diaphragmatic surface

  D.Visceral surface

  E.Porta hepatis

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• 7X-ray reveals elevation of the right diaphragm with limited motion in a case of closed abdominal traum

  A.What diagnosis is indicated?A.Gastricrupture

  B.Lienal rupture

  C.Hepatic rupture

  D.Duodenal rupture

  E.Flexura colidextra rupture

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• 8After upper abdominal injury， a man complains pain in right upper quadrant and back and also bloody vomitus. The X ray examination of abdomen shows retroperitoneal pneumatosis. Which diagnosis should be suspected

  A.Liver or gallbladder rupture

  B.Right-side colon injury

  C.Right kidney injury

  D.Stomach injury

  E.Duodenum injury

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• 9Which of the following statement about abdominal trauma is incorrect?

  A.All liver injury require immediate surgery

  B.drainage of uncoagulated blood is a convincing sign for exploratorylaparotomy

  C.70%〜80% abdominal trauma require surgical treatment

  D.The diagnosis of intestinal perforation can be rolled out by CT scan which shows no sign of pneumoperitoneum

  E.Peritonitis can be detected during the early phase of intest inalinjury

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• 10车轮压伤上腹部后1小时，休克、明显贫血貌

  A.创伤性脾破裂

  B.创伤性肝脾破裂

  C.创伤性胰腺损伤

  D.创伤性小肠损伤

  E.创伤性结肠损伤

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