男，78岁，呕吐，腹胀21小时，无明显腹痛，既往有消化道溃疡病史，上腹部压痛，腹肌紧张，血压80/50mmHg，脉搏108次／分，血淀粉酶250U，血钙1...

作者: rantiku 人气: - 评论: 0

问题男，78岁，呕吐，腹胀21小时，无明显腹痛，既往有消化道溃疡病史，上腹部压痛，腹肌紧张，血压80/50mmHg，脉搏108次／分，血淀粉酶250U，血钙1.7mmol/L。下列最可能的诊断是

选项 A．急性心肌梗死 B．急性胰腺炎水肿型 C．急性胰腺炎出血坏死型 D．急性肠梗阻 E．消化性溃疡急性穿孔

答案 C

解析

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