每小题1分，共13分 1、    [A]．大网膜发育不全，病情发展快且较重，右下腹体征不典型，穿孔率高
   [B]．阑尾向右上腹移位，炎症阑尾刺激不到壁层腹膜使体征不明显，大网膜难以包裹使腹膜炎易扩散
   [C]．对疼痛感觉迟钝，腹肌薄弱，防御功能减退，临床表现轻而病理改变却很重
   [D]．肝肿大，剑突下痛，轻度黄染，寒战、高热
   [E]．反复发作右下腹痛，右下腹有位置较固定的压痛

1老年人急性阑尾炎_____

2小儿急性阑尾炎_____

3妊娠期急性阑尾炎_____

2、    [A]．急性阑尾炎
   [B]．急性胆囊炎
   [C]．急性胰腺炎
   [D]．消化性溃疡穿孔
   [E]．右侧输尿管结石

1转移性右下腹痛_____

2上腹刀割样痛_____

3右下腹绞痛向会阴部放射_____

3、    [A]．阑尾轻度肿胀，浆膜充血并失去正常光泽，表面有少量纤维素性渗出物
   [B]．阑尾各层均有水肿和中性粒细胞浸润、黏膜表面有小溃疡和出血点
   [C]．阑尾肿胀明显，浆膜高度充血，有脓性渗出物附着
   [D]．阑尾管壁坏死或部分坏死；呈暗紫色或黑色
   [E]．大网膜移至右下腹部，将阑尾包裹并形成粘连，出现炎性肿块

1急性化脓性阑尾炎_____

2坏疽性及穿孔性阑尾炎_____

3阑尾周围脓肿_____

4急性单纯性阑尾炎_____

4、    [A]．急性胆囊炎
   [B]．急性阑尾炎
   [C]．胃十二指肠溃疡穿孔
   [D]．急性胰腺炎
   [E]．右输尿管结石

1转移性右下腹痛_____

2上腹部束带状疼痛，多呈持续性_____

3右腰部阵发性绞痛向会阴部扩散_____

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