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男,60岁,昨日因车祸致颅底骨折,2小时前突然呕吐咖啡色液300ml,诊断首先考虑为()

发布日期:2020-08-20

男,60岁,昨日因车祸致颅底骨折,2小时前突然呕吐咖啡色液300ml,诊断首先考虑为()
A

食管静脉曲张破裂

B

慢性胃炎急性发作

C

胃溃疡

D

应激性溃疡或急性胃黏膜病变

E

胃癌

试题解析

颅底骨折

颅底由前向后的颅前窝、颅中窝和颅后窝呈由高到底的阶梯状排,因凹凸不平、有大小不同的骨孔与裂隙容纳颅神经和血管,因而颅底骨折(skull base fracture)时容易出现相应的症状和体征。

中医病名
颅底骨折
就诊科室
神经外科
常见病因
外力挤压头部、外力直接打击在颅底水平,颅盖骨骨折向下延伸、外力经脊柱或上下颌骨传导至颅底等造成
外文名
skull base fracture
常见发病部位
筛板和眶板
常见症状
呕吐黑红色或咖啡色液体,颈活动受限、呼吸困难、四肢瘫痪等

突然

《突然》是林姍姍演唱的一首歌曲,收录于专辑《我爱经典系列》中。

中文名
突然
歌曲时长
3分26秒
所属专辑
我爱经典系列
发行日期
1999年3月16日

呕吐

《呕吐》是陈珊妮演唱的歌曲,收录于专辑《乘喷射机离去》中。

中文名
呕吐
歌曲时长
3分09秒
填词
陈珊妮
发行日期
1995年5月2日
所属专辑
乘喷射机离去
歌曲原唱
陈珊妮
谱曲
陈珊妮
歌曲语言
普通话

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