先天性肛门闭锁、直肠尿道瘘患儿，生后三天来院诊治，最合理治疗方案，应是

试卷相关题目

• 1先天性胆道闭锁手术治疗的最适合年龄是

  A.2个月以内

  B.2〜6个月

  C.6〜12个月

  D.1〜3岁

  E.3〜6岁

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• 2先天性巨结肠原发病位置在

  A.扩张段与肥厚段

  B.远端狭窄肠段

  C.回盲部

  D.全结肠

  E.乙状结肠

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• 3先天性肠闭锁钡灌肠显示

  A.结肠直肠有扩张段和狭窄段

  B.结肠可见“杯口状”阴影

  C.结肠瘪细呈胎儿型结肠

  D.回盲部不在右下腹

  E.出现“龛影”

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• 4先天性肥厚性幽门狭窄病理改变是

  A.幽门环肌肥厚

  B.幽门纵肌肥厚

  C.幽门壁各层肥厚尤以环肌为主

  D.幽门壁各层肥厚尤以纵肌为主

  E.幽门肌层瘢痕狭窄

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• 5女性，60岁，脐周持续性腹痛3天伴频繁呕吐，腹胀不明显，肠鸣音活跃，诊断为急性肠梗阻。试问在肠梗阻的手术探查中，下列除哪种情况外其预后不算最差

  A.梗阻上段肠管扩张明

  B.肠浆膜不光滑，粗糙

  C.肠系膜上动脉栓塞

  D.小肠上段梗阻

  E.一组肠袢紧密粘连又无法分离粘连

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• 6Which part of the intestine is the predilection site of Crohns disease?

  A.Jejunum

  B.Terminal ileum

  C.Ileocecum

  D.Duodenum

  E.Rectum

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• 7A 50-year male with paroxysmal abdominal pain for 6 days，nausea and abdominal distension for days admitted to the ER. Physical examination showed abdominal bulge and visible peristalsis. Active bowl sound and gurgling could be heard by auscultation.  X-ray showed fluid level in the dilated small intestine in the middle abdomen and a small a-mount of gas in the colon. The most possible diagnosis is ：

  A.Paralytic intestinal obstruction

  B.Lower-level small intestinal obstruction

  C.Higher-level small intestinal obstruction

  D.Necrostic enteritis

  E.Sigmoid volvulus

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• 8If the initial part of SMA is embolized，which part of intestine will be involved?

  A.duodenum，jejunum，ileum

  B.small intestine and colon

  C.small intestine，cecum and ascending colon

  D.ascending colon and transverse colon

  E.descending colon，sigmoid colon and rectum

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• 9The most common involved vessel of mesenteric vascular ischemic diseases is

  A.Superior mesenteric artery

  B.Superior mesenteric vein

  C.Inferior mesenteric artery

  D.Inferior mesenteric vein

  E.All above

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• 10A 60-year- old female presents with continued periumbilical stomachache with vomiting for one week. Bowel sound is active. X-ray abdominal plain film reveals colonic obstruction. Which of the following is NOT a common cause of large intestine obstruction?

  A.Enterostenosis

  B.Ulcerative colitis

  C.Indigitation

  D.Volvulus

  E.Tumor

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