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男,18岁,胸痛伴有呼吸困难1天。查体:瘦高体型,胸部X线提示右侧气胸,纵隔明显向左移位。患者既往有类似症状,但是程度较轻。此时患者应采取的治疗措施不包括______

A. 右侧胸腔闭式引流
B. 胸腔镜手术
C. 右侧胸腔穿刺抽气
D. 面罩吸氧
E. 无创通气

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【F1】This is supposed to be an enlightened age, but you wouldn"t think so if only you could hear what the average man thinks of the average woman.Women won their independence years ago. After a long, bitter struggle, they now enjoy the same educational opportunities as men in most parts of the world. They have proved repeatedly that they are equal and often superior to men in almost every field. The hard-fought battle for recognition has been won, but it is through no means over.【F2】It is men, not women who still carry on the sex war because their attitude remains basically hostile, even in the most progressive societies, women continue to be regarded as second-rate citizens.To hear some men talk, you"d think that women belonged to a different species!On the surface, the comments made through men about women"s abilities seem light-hearted. The same tired jokes about women drivers are repeated day in and day out. This apparent light hearted ness does not conceal the real contempt that men feel for women. However much men sneer at women, their claims to superiority are not borne out through statistics. Let"s consider the matter of driving, for instance. We all know that women cause far fewer accidents than men. They are too conscientious and responsible to drive like maniacs. But this is a minor quibble. Women have succeeded in any job you care to name.【F3】As politicians, soldiers, doctors, factory hands, university professors, farmers, company directors, lawyers, bus-conductors, scientists and presidents of countries they have often put men to shame.And we must remember that they frequently succeed brilliantly in all these fields in addition to bearing and rearing children.Yet men go on maintaining the fiction that there are many jobs women can not do.【F4】Top level political negotiation between countries, business and banking are almost entirely controlled through men, who jealously guard their so-called "rights".Even in otherwise enlightened places like Switzerland women haven teven been given the vote. This situation is preposterous!The truth is that men cling to their supremacy because of their basic inferiority complex. They shun real competition. They know in their hearts that women are superior and they are afraid of being beaten at their own game. One of the most important tasks in the world is to achieve peace between the nations.【F5】You can be sure that if only women were allowed to sit round the conference table, they would succeed brilliantly, as they always do, where men have failed for centuries. 【F4】

女,44岁。上腹绞痛伴高热1天,皮肤黄染2小时,呕吐1次,伴寒战、高热,发病后小便色深。既往反复发作上腹部隐痛3年,向右肩部放射。查体:T39.1℃,P108次/分,R30次/分,BP150/95mmHg,皮肤、巩膜黄染,上腹部肌紧张,压痛、反跳痛(+)。 为明确诊断,首选的检查是______

A. 腹部B超
B. 腹部CT
C. 腹部MRI
D. 经皮肝穿胆管造影
E. 内镜逆行胆胰管造影

女,44岁。上腹绞痛伴高热1天,皮肤黄染2小时,呕吐1次,伴寒战、高热,发病后小便色深。既往反复发作上腹部隐痛3年,向右肩部放射。查体:T39.1℃,P108次/分,R30次/分,BP150/95mmHg,皮肤、巩膜黄染,上腹部肌紧张,压痛、反跳痛(+)。 最可能的检查结果是______

A. 胆囊缩小
B. 壶腹部展位
C. 胆总管直径增粗
D. 胰头增大
E. 胰管扩张

女,23岁。因“右侧胸痛伴发热1周”就诊。既往体健。体检:右侧第8后肋以下叩诊实音,呼吸音消失。胸部X线片提示:右下肺大片状致密阴影,上缘呈外高内低的弧形。为明确诊断应该首选的治疗措施是______

A. PPD试验
B. 支气管镜
C. 胸部CT
D. 胸腔镜
E. 胸腔穿刺

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