3个月婴儿,因咳嗽、喉鸣、呼吸困难4天而来院。患儿4天前有低热,T37~38℃,轻咳,声音轻度嘶哑,有时有呼噜声,偶呕吐,无犬吠样咳嗽,曾口服头孢氨苄及止咳药,但体温不降反升至39℃。两天来发憋,有时张口呼吸,流涕。入院查体:T37.8℃,P164次/分,R48次/分,发育、营养中等,气促,无发绀,张口呼吸,前囟2cm×2cm、平坦,方颅,有枕秃,眼、耳、鼻无异常。咽部明显充血,扁桃体不大,右颈部及颌下可触及黄豆大淋巴结2~3个,有压痛,有轻度喉鸣及三凹征,两肺呼吸音粗,有痰鸣音,未闻湿啰音,心率164次/分,律齐,无杂音,腹软,稍膨隆,肝肋下2cm,脾下1cm,均软,神经系统及四肢检查正常。Hb110g/L,RBC3.56×10/L,WBC14×10/L,N59%,L41%,胸部X线可见两肺纹理增粗。主要诊断是什么() ["A.急性喉炎","急性咽炎","急性上呼吸道梗阻","支气管炎","支气管肺炎"]
CharCot三联征是() ["发热,腹胀,腹痛","发热,黄疸,腹胀","发热,腹痛,腹泻","发热,腹痛,呕吐","发热,腹痛,黄疸"]
原发性肝癌() ["肝脾肿大","肝大,脾缩小","肝缩小,脾大","肝脾缩小","肝脾正常"]
下列对肝硬化有确诊价值的是() ["肝大质地偏硬","脾大","白蛋白降低","肝穿刺活检有假小叶形成","食道吞钡X线检查有虫蚀样充盈缺损"]
患者男,42岁。10小时前饱餐后出现持续性上腹痛,2小时前开始出现咳嗽,进行性呼吸困难。查体:BP85/50mmHg,P122次/分,T38.8℃,巩膜黄染,全腹压痛,伴反跳痛及肌紧张。血淀粉酶700U/L。腹部超声提示肝内外胆管未见扩张。下列哪项治疗不是必需的()。 ["A.禁食水","抑酸治疗","抑制胰液分泌","抑制胰酶作用","外科手术","抗炎治疗"]
B738飞机无小翼型有()个放电刷,有小翼型有()个放电刷。