单项选择题

患者，男性，47岁，突然发作持续性剧烈上腹部疼痛伴恶心、呕吐2小时而来急诊。分诊护士查脉细速，血压80/50mmHg，腹部皮肤青紫，上腹压痛、反跳痛，肠鸣音消失，化验结果中血钙1.82mmol/L。护士判断患者最可能发生了

A.急性胆管炎
B.急性肠扭转
C.脾破裂
D.急性腹膜炎
E.急性出血坏死性胰腺炎
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Subject: Contact with advisorFrom: anderson2009@yahoo. comTo: johnson111@gmail. comDear Professor Johnson,I am very pleased to learn from the Dean of the Graduate School that you will be my advisor during my two years of graduate study at your university (147) Fall 2008. With your help, I am confident of being successful in my studies.To help me better prepare for future study, I need your advice as to what books on food and nutrition I should review. I have already reviewed general chemistry, organic chemistry and qualitative chemistry analysis. Presently, I am in the process of reviewing biology, biochemistry and food chemistry. I should be very (148) if you would kindly give me your opinions on my preparatory work and also tell me which courses I should take (149) the M. S. degreE.I look forward to hearing from you.Sincerely yours,Anderson(47)D.continuing
A.committing
B.beginning
C.commencing
单项选择题
外科急腹症患者，在未明确诊断时应严格四禁，四禁中不包括
A.禁用吗啡类药止痛
B.禁饮食
C.禁服泻药
D.禁灌肠
E.禁腹部透视
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