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当前学科:临床执业医师
题目:
单选题
患者,男,70岁。40年前行胃大部分切除术,发现贫血1年。粪便隐血试验(—)。胃镜:吻合口炎症。与患者贫血无明显关系的因素是()
A
叶酸缺乏
B
维生素B
12
缺乏
C
胃蛋白酶缺乏
D
胃酸缺乏
E
铁缺乏
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麻某,女,32岁,汉族。平素体健,患者于入院前2天无明显诱因出现上腹部不适,后出现右下腹部疼痛,体温不高,但无恶心及呕吐,无腹痛腹泻及里急后重,右下腹持续性疼痛,疼痛拒按,喜饮冷水,不思饮食,大便2日未行,舌红苔黄腻,脉数。查体:T36.5℃、P80次/分、R19次/分、BP110/60mmHg。腹部平坦,无明显胃肠型及包块;腹肌无异常紧张,肝、脾肋缘下未触及、无叩痛,右下腹部压痛,无反跳痛,听诊肠鸣音如常,结肠充气试验阳性,闭孔内肌试验阴性,腰大肌试验阴性。辅助检查:血常规:WBC12.6×109/L,N66%,CRP58mg/dl。腹部CT示:阑尾肿大。作出中医病证诊断及西医疾病诊断。
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