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提问人:网友d*******1 发布时间:2023年6月21日 20:47
[共享题干题]

患者男性,57岁。因距离肛缘6cm直肠癌行腹腔镜辅助下Hartmman手术。手术后第6天,诉腹胀,伴有呕吐,呕吐物为胃液和胆汁,轻微腹痛,乙状结肠造口未排便排气。查体:腹部无压痛与反跳痛。

82.[提示] 立位腹平片:左上腹、中腹部肠管轻度扩张、少量气液平面。该患者可能的诊断为()

A.直肠癌术后,早期炎症性肠梗阻

B.直肠癌术后,单纯性粘连性肠梗阻

C.直肠癌术后,绞窄性肠梗阻

D.直肠癌术后,急性腹膜炎

E.直肠癌术后,肠穿孔

F.直肠癌术后,急性胰腺炎

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