男性，65岁。间歇性上腹部疼痛伴反酸、嗳气10年，多为夜间痛和饥饿痛。上腹胀痛不适，呕吐隔夜饮食3天，吐厅症状缓解。查体：左上腹压痛，振水音阳性。
诊断首先要考虑
A. 胃溃疡
B. 十二指肠溃疡
C. 多发性溃疡
D. 溃疡病并发幽门梗阻
E. 复合性溃疡
查看答案
其疼痛的主要原因是
A. 后腹膜炎性刺激
B. 腹前壁受损
C. 胃肠道浆膜受侵犯
D. 腹腔神经丛受侵犯或压迫
E. 膈肌炎性刺激
Senators are considering alternatives to
A. the health insurance program.
B. the public facilities program.
C. the health bill program.
D. the law enforcement program.
According to the news item, Goldman Sachs has been accused of
A. corruption related to banking investment.
B. fraud related to the collapse of U.S. stock market.
C. deception related to the crash of the U.S. housing market.
D. scandal related to the deterioration of the U.S. housing market.
采取首选治疗方案
A. 用解痉，止痛，氟尿嘧啶(5-Fu)滴注+抗生素治疗
B. 放置胃管胃肠减压，补液，观察
C. 放置胃管胃肠减压，准备手术
D. 放置胃管胃肠减压，用西咪替丁(甲氰咪胍)静脉滴注观察
E. 解痉，止痛，静脉滴注西咪替丁(甲氰咪胍)，观察
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