试题详情

男,38岁,前年因右侧腹股沟疝嵌顿肠坏死而施行手术,今日上午突觉全腹痛,呕吐多次,腹胀,右下腹明显压痛,肠鸣音亢进,无排气排便,排尿一次,色正常,体温37.5℃,白细胞13×109/L,血淀粉酶150U/dl(Somogyi法),其诊断为

A急性阑尾炎;

B急性胰腺炎;

C伤寒肠穿孔;

D粘连性肠梗阻;

E乙状结肠扭转;