患者,男,62岁。餐后突发持续性上腹痛1天,向右腰背放射,伴恶心、呕吐,腹胀。查体:T38.5℃,HR100次/分,BP90/50mmHg,腹膨隆,上腹压...

作者: tihaiku 人气: - 评论: 0
问题 患者,男,62岁。餐后突发持续性上腹痛1天,向右腰背放射,伴恶心、呕吐,腹胀。查体:T38.5℃,HR100次/分,BP90/50mmHg,腹膨隆,上腹压痛明显,移动性浊音可疑,肠鸣音减弱。化验检查:WBC19×10/L,血淀粉酶115U/L,Na135mmol/L,K3.5mmol/L,Ca1.7mmol/L,Glu13mmol/L。腹X线平片见脐周、左上腹肠腔积气。为明确诊断,急诊还应选择的检查是
选项 A.胃镜 B.ERCP C.腹部超声 D.肠系膜动脉造影 E.诊断性腹穿
答案 C
解析

相关内容:患者,突发,持续性,腹痛,呕吐,50mmHg,腹膨,上腹

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