女,51岁,1小时前因咳嗽突发右下腹疼痛,右腹股沟出现肿块。查体:全腹轻压痛,无腹肌紧张,肠鸣音亢进。右侧腹股沟韧带下方呈半球形隆起,不能回纳,轻压痛,应...

作者: rantiku 人气: - 评论: 0
问题 女,51岁,1小时前因咳嗽突发右下腹疼痛,右腹股沟出现肿块。查体:全腹轻压痛,无腹肌紧张,肠鸣音亢进。右侧腹股沟韧带下方呈半球形隆起,不能回纳,轻压痛,应采取的正确措施是: A.急症手术复位,行McVay法修补术 B.急症手术复位,行Ferguson法修补术 C.及时手法复位,密切观察 D.密切观察,病情加重及时手术 E.应用抗生素、止痛剂观察
选项
答案 A
解析 根据题中症状可知患者的疝气不能回纳,可能合并绞窄性肠梗阻,应立即手术,术式可选择McVay术。

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