女性,34岁,昨晚餐后2小时出现腹部剧烈疼痛,呕吐大量胃内容物而住院。1月前作B超检查发现胆囊增大。体检:体温38℃,脉搏90次/分,血压98/60mmHg。腹平软,剑突下有轻压痛,Murphy征阳性。血白细胞10.0×10/L,中性分叶粒细胞0.85,血淀粉酶1000苏氏单位。最可能的诊断是()
A. 胆囊炎、胆石症
B. 胃溃疡合并幽门梗阻
C. 胃溃疡合并穿孔
D. 急性水肿型胰腺炎和胆囊炎
E. 急性肠梗阻
根据材料回答下面的题目:{Page}Border Gateway Protocol (BGP)is inter-autonomous system ___(71 )__protocol. BGP is based on a routing method called path vector routing. Distance vector routing is not a good candidate for inter-autonomous system routing because there are occasions on which the route .with the smallest__(72)__count is not the preferred route. For example, we may not want a packet through an autonomous system that is not secure even though it is shortest route. Also, distance vector routing is unstable due to the fact that the routers announce only the number of hop counts to the destination without defining the path that leads to that____(73)___. A router that receives a distance vector advertisement packet may be fooled if the shortest path is actually calculated through the receiving router itself. Link____(74)__routing is also not a good candidate for inner-autonomous system routing because an internet is usually too big for this routing method. To use link state routing for the whole internet would require each router to have a huge link state database. It would also take a long time for each router to calculate its routing____(75)____using the Dijkstra algorithm.{Page}A.routingB.switchingC.transmittingD.receiving
A. status
B. search
C. state
D. research
下述各种疾患中,哪一项不是结节性甲状腺肿的手术适应证()
A. 结节性甲状腺肿疑有恶变者
B. 结节性甲状腺肿继发功能亢进者
C. 20岁前的弥漫性甲状腺肿
D. 胸骨后甲状腺肿
E. 出现气管或食管压迫症状者
下述哪种甲状腺疾病禁忌手术()
A. 甲亢
B. 甲状腺腺瘤
C. 桥本病
D. 甲状腺乳头状腺癌
E. 结节性甲状腺肿