腹部闭合性损伤时，不支持腹腔内脏损伤诊断的是(    )

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• 1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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• 2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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• 3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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• 4对儿童腹部闭合性损伤脾破裂的治疗态度，下列哪项是不恰当的(    )

  A.凡有脾破裂一律行脾切除

  B.保脾手术，在儿童中已较肯定

  C.部位适当，可行脾裂口修补术

  D.部位适当，可行脾部分切除术

  E.切除脾脏可行脾片大网膜移植

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• 5腹部创伤后，下列哪项不是实质性脏器损伤的表现(    )

  A.出现口渴、烦躁

  B.脉搏120次/分，细数

  C.血压8/6kPa(60/45mmHg)

  D.腹腔穿刺抽出1ml不凝固血液

  E.腹腔穿刺抽出混浊液体

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• 6Which 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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• 7X-ray showing pneumoretroperitoneum on a patient with closed abdominal injury， which of the following is the most possible injured site?(    )

  A.Transverse colon

  B.Sigmoid colon

  C.Upper part of rectum

  D.First part of duodenum

  E.Horizontal part of duodenum

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• 8In 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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• 9X-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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• 10After 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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