A.急性胃扩张 B.幽门梗阻 C.十二指肠壅积征 D.高位小肠梗阻 E.胃窦癌 1253.女性,46岁。间歇性腹泻半年,每日大便2~3次,时有与粪相混暗红色 血便。体检:左下腹部轻度压痛,未扪及块物。下列病人应选择上述哪一 种最佳检查: (中、应用) A.急诊胃镜检查 B.纤维结肠镜检查 C.选择性腹腔动脉造影 D.胃肠钡餐造影 E.放射性核素扫描 1254. A 65-year-old white man with a history of dilated cardiomyopathy presents with a sudden onset of severe abdominal pain associated with passing of maroon colored stool. Abdominal exam is nonspecific and reveals only very mild tenderness to deep palpation. Laboratory studies reveal an elevated white blood ell (wBC) count and abdominal radiographs of the abdomen reveal small bowel ileus with submucosal edema( thumbprinting). Which of the following is the next appropriate therapeutic/diagnostic procedure? (难、应用) A. Colonoscopy B. Upper endoscopy C. Mesenteric angiography D. Upper GI small bowel series E. Indium scan 1255.女性,30岁。有十二指肠球部溃疡史5年,出现柏油样便2天。来院体检: 面色苍白、额部冷汗、血压80/60mmHg,心率120次/分。下列哪一项措 施不妥当? (中、应用) A.输血、补充血容量 B.查血常规、红细胞压积 C.紧急胃镜检查 D.质子泵抑制剂静脉注射 E.通知病危A．急性胃扩张 B．幽门梗阻 C．十二指肠壅积征 D．高位小肠梗阻 E．胃窦癌 1253．女性，46 岁。间歇性腹泻半年，每日大便 2～3 次，时有与粪相混暗红色 血便。体检：左下腹部轻度压痛，未扪及块物。下列病人应选择上述哪一 种最佳检查： （中、应用） A．急诊胃镜检查 B．纤维结肠镜检查 C．选择性腹腔动脉造影 D．胃肠钡餐造影 E．放射性核素扫描 1254．A 65-year-old white man with a history of dilated cardiomyopathy presents with a sudden onset of severe abdominal pain associated with passing of maroon￾colored stool. Abdominal exam is nonspecific and reveals only very mild tenderness to deep palpation. Laboratory studies reveal an elevated white blood cell (WBC) count and abdominal radiographs of the abdomen reveal small bowel ileus with submucosal edema (thumbprinting). Which of the following is the next appropriate therapeutic/diagnostic procedure? （难、应用） A．Colonoscopy B．Upper endoscopy C．Mesenteric angiography D．Upper GI small bowel series E．Indium scan 1255．女性，30 岁。有十二指肠球部溃疡史 5 年，出现柏油样便 2 天。来院体检： 面色苍白、额部冷汗、血压 80/60mmHg，心率 120 次/分。下列哪一项措 施不妥当？ （中、应用） A．输血、补充血容量 B．查血常规、红细胞压积 C．紧急胃镜检查 D．质子泵抑制剂静脉注射 E．通知病危