[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fZ-qlX3dZgDEVZGcuIYjRQnemUTAOQa2n0hRz1e3cmUQ":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":25,"type":26},[],"2025-05-18 18:41:43",188813186,[8,9,10,11,12],"可导致水、电解质酸碱平衡失调","在抗利尿激素和醛固酮的作用下,水、钠潴留,以保存血容量","创伤时机体对糖的利用率下降,以发生高血糖、糖尿病","脂肪合成增加","蛋白质消耗增加,尿氮排出增加,出现负氮平衡",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},195,"6f5892b8a47d656bf09edd4995113427","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002F12bed1acceafa1bfc21a78e093af60ef.png","西医外科学","exam_156927361","1","创伤感染后的代谢变化不包括",[22,27,37,48,58,68,78,88,98,108],{"answer":23,"createTime":5,"id":6,"options":24,"question":20,"source":25,"type":26},[],[8,9,10,11,12],"v1",0,{"answer":28,"createTime":5,"id":29,"options":30,"question":36,"source":25,"type":26},[],188813187,[31,32,33,34,35],"切口疝","股疝","脐疝","腹股沟直疝","腹股沟斜疝","最容易引起嵌顿的疝是",{"answer":38,"createTime":39,"id":40,"options":41,"question":47,"source":25,"type":26},[],"2025-05-18 18:41:44",188813188,[42,43,44,45,46],"经中心静脉输注营养液","经周围静脉输注营养液","口服营养液","肠外营养","胃造口","刘女士,66岁.因进行性吞咽困难3月、不能进食水1周入院.查体:生命体征平稳、正常,身高1.76m,体重46kg,肺心(-).舟状腹,腹软,未发现其他异常.胃镜见食管中段占位,胃镜不能通过.入院诊断:食管癌,营养不良.拟予以抗肿瘤治疗的同时行营养支持,其营养支持首选的途径为",{"answer":49,"createTime":39,"id":50,"options":51,"question":57,"source":25,"type":26},[],188813189,[52,53,54,55,56],"四肢抽搐","畏光","咀嚼无力","全身乏力","张口困难","破伤风感染早期典型症状是",{"answer":59,"createTime":39,"id":60,"options":61,"question":67,"source":25,"type":26},[],188813190,[62,63,64,65,66],"嵌顿性疝","Littre疝","Richter 疝","滑动性疝","绞窄性疝","疝囊壁的一部分为腹内容物时称",{"answer":69,"createTime":39,"id":70,"options":71,"question":77,"source":25,"type":26},[],188813191,[72,73,74,75,76],"3%过氧化氢液","朵贝氏液","硼酸液","呋喃西林液","5%碳酸氢钠液","对伤口分泌物有厌臭味的感染者,应考虑用哪种溶液冲洗伤口和湿敷",{"answer":79,"createTime":39,"id":80,"options":81,"question":87,"source":25,"type":26},[],188813192,[82,83,84,85,86],"低半坐位","头低脚高位","平卧位","高半坐位","侧卧位","男,45岁.在全身麻醉下行剖腹探查、胃穿孔修补术,手术顺利.术后第2天宜采取的体位是",{"answer":89,"createTime":39,"id":90,"options":91,"question":97,"source":25,"type":26},[],188813193,[92,93,94,95,96],"2小时","4小时","8小时","12小时","24小时","非胃肠道手术病人,术前应禁食",{"answer":99,"createTime":39,"id":100,"options":101,"question":107,"source":25,"type":26},[],188813194,[102,103,104,105,106],"头痛、呕吐、视乳头水肿","头痛呈阵发性加重","后期多出现视力障碍","某些病人可以始终不出现&quot;三主征&quot;","婴幼儿颅内压增高时,头痛都很严重,且多在早期出现","颅内压增高的临床表现,下列不正确的是",{"answer":109,"createTime":39,"id":110,"options":111,"question":117,"source":25,"type":26},[],188813195,[112,113,114,115,116],"单纯油囊高位结扎术","Ferguson法沛修补术","Bassini法沛修补术","Halsted法疝修补术","无张力疝修补术","男性,50岁.右侧腹股沟斜疝嵌顿8小时入院.急症手术中发现嵌顿入疝囊的回肠有约5cm坏死, 行坏死回肠切除,肠吻合术.对伤口进行彻底清洗后,无明显炎症表现.疝的处理应首选"]