57系统精讲-消化系统-第十九节 急性胰腺炎病人的护理

THECHILDVIIIHEALTHSUPERVISIONANDLAWENFORCEMENTACCELERATINGTHECONSTRUCTIONOFHEALTHINSPECTIONSYSTEM,COMPREHENSIVEIMPLEMENTATIONOFFOODSAFETYCOORDINATIONRESPONSIBILITIES,STRENGTHENINGHEALTHLAWENFORCEMENTANDSUPERVISION,INCREASETHEINTENSITYOFCOMBATOFILLEGALPRACTICEIXCARRYINGPATRIOTICPUBLICHEALTHCAMPAIGNFURTHERDEVELOPURBANANDRURALSANITATIONANDCLEAN,ANDPROMOTINGHEALTHEDUCATIONANDHEALTHPROMOTIONWORK,CREATESMOKEFREEHEALTHUNITSCARRYOUTACTIVITIES,FULLIMPLEMENTATIONOFTHERURALDRINKINGWATERANDLATRINESPROJECTXEFFORTSTORAISETHELEVELOFMEDICALSERVICESACTIVEIMPLEMENTATIONOFXXCOUNTYHOSPITALCONSTRUCTIONPROJECTS,STRENGTHENTHECOUNTYPEOPLESHOSPITALMEDICALBUILDING,UPGRADINGOFTOWNSHIPHOSPITALMEDICINESERVICES,ANDCONSTANTLYIMPROVETHELEVELOFSERVICE,ANDBETTERMEETTHENEEDSOFTHEPEOPLEINTEGRATEDANDOTHERHEALTHPROGRAMSCONTINUEDSOLIDJOBMAINTAININGSTABILITY,CARRYOUTTHE“HUIJU“WORKTOPROMOTECLEANGOVERNMENTANDANTICORRUPTIONWORKJIUFENG,ANDDOANEWROUNDOFHEALTHXINJIANGWORK,INCREASEDHEALTHLETTERS,COMPREHENSIVEMANAGEMENT,SAFETY,ENVIRONMENTALPROTECTION,FIREPROTECTION,LEGALWORK,ANDEFFORTSTOPROMOTETHEHEALTHYANDHARMONIOUSDEVELOPMENTOFHEALTHSERVICEDISTRICTJUDICIALCOUNCIL2015SUMMARYMATERIAL2015,XXDISTRICTJUDICIALCOUNCILINDISTRICT,ANDDISTRICTGOVERNMENTOFRIGHTLEDXIA,INSUPERIORBUSINESSSECTOROFCAREFULLYGUIDEXIA,INHEREMEMBERSLINEWINDSUPERVISOROFCAREGUIDEXIA,TOPARTYOF18BIGAND18SESSIONTHREEINTHE,ANDFOURINTHEPLENARYSPIRITFORGUIDELINES,INDEPTHIMPLEMENTIMPLEMENTATIONSCIENCEDEVELOPMENTVIEWS,ACCORDINGTOPROVINCE,ANDCITY,ANDDISTRICTUNIVERSITYWORKERSWORKSHOPANDEARLYFULLDISTRICTJUDICIALADMINISTRATIVEWORKSHOPOFDEPLOYMENT,TOSERVICEFULLDISTRICTECONOMICSOCIALDEVELOPMENTFORCENTER,TOCREATED“PEOPLEARESATISFIEDWITHASERVICEORIENTEDADMINISTRATIONOFJUSTICEBODIES“TOLEADTOFURTHERIMPROVEWORKSTYLE,IMPROVEADMINISTRATIVEEFFICIENCY,ANDFORTHEWHOLEAREAOFTHERULEOFLAWAREA,ACCELERATETHECONSTRUCTIONOFRULEXXPROVIDEAPOWERFULLEGALGUARANTEEANDREALIZETHENEWLEAPOFXXTHEJUDICIALADMINISTRATIVEWORKOURMAINAPPROACHISFIRST,INNOVATION,ANDCOMPREHENSIVELYPROMOTETHERULEOFLAWPUBLICITYANDEDUCATIONWORKAROUNDTHEMAINLINEOFSPIRITOFCARRYINGFORWARDTHESOCIALISTCONCEPTOFTHERULEOFLAW,FULLYSIXDYNAMIC,EXTENSIVEFRANCOPRUSSIANDISTRICTACTIVITIESOUTOF45PERCENTTHISYEAR,SENDINGPICTURES,LITERATURE,MORETHAN40,000COPIESYOUNGFRANCOPRUSSIAN,SETOFFACLIMAXTHROUGHTHE“LEARNINGCHILDSTAR“AND“VCDYOUTH“DOUBLEHUNDREDSELECTION,“METHODINTHEHEART,ONTHELINE“ESSAY,“LUCKYSTAROFENGLISHLAW“ANDOTHERACTIVITIES,SETOFFANEWROUNDOFYOUNGPEOPLEACROSSTHEDISTRICTLAW,USAGE,ABIDEBYTHECLIMAXSECOND,STRENGTHENMANAGEMENTANDSTRIVETOBUILDANEWPATTERNOFMEDIATIONFULLMEDIATIONVIDEOCOMMANDSYSTEM,THEROLEOFMEDIATIONNETWORKACADEMY,PROMOTINGMEDIATIONNETWORKENTITIESANDTHEACHIEVEMENTOFPRACTICALRESULTSENHANCEDGRIDTROUBLESHOOTINGWARNINGMECHANISM,CONTINUETOPROMOTEMEDICAL,PUBLIC,ANDPROSECUTORS,AGAINSTREGULATION,CONSUMERCULTURE,SUCHASDOCKING,PROFESSIONALMEDIATIONORGANIZATIONSOFNORMALIZEDANDSTANDARDIZEDCONSTRUCTION,URBANMANAGEMENT,LOGISTICS,LAND,ANDMORENEWPROFESSIONALINTHEFIELDOFMEDIATIONANDDOCKINGMECHANISMESTABLISHMENTOFNPCDEPUTIESANDCPPCCMEMBERS,COMMUNITYORGANIZATIONSANDOTHERMECHANISMFORTHIRDPARTIESTOPARTICIPATEINMEDIATIONTORESOLVETHECONTRADICTION,FORMINGTHE“PARTICIPATIONOFTHEWHOLESOCIETY,THEWHOLEAREACOVERS“OFTHEMEDIATIONNETWORKAND“MAKECONCERTEDEFFORTSANDMUTUALACCOUNTABILITY“OFTHEMEDIATIONSYSTEMTROUBLESHOOTINGWARNINGTODEEPENTHEGRIDMODEMESHANDSTAFFINGCONTINUESTOSOUND,TROUBLESHOOTINGWARNINGSYSTEMOFGRIDCOVERAGETOWNLINKEDTOTHEPATCHLEVELMEDIATIONCENTERPERSONNELMASTERINGRESPONSIBILITIESGRIDCELLANDTOWNLEVELINDIVIDUALGRIDCELLSANDRESPONSIBILITIESGRIDGRIDINFORMATIONCONTACTTHELONGPOINTBASIS,ASSISTINGTHEPRODUCTIONLIFEOFTHEMASSESINTHEENCOUNTEREDPROBLEMSANDDISPUTES,FOUNDSIGNSOFHIDDENTROUBLETOREPORTFIRSTTOTHEUPPERGRIDINACCORDANCEWITHTHESCREENINGREQUIREMENTSOFGRID,EFFORTSTOINCREASEFREQUENCYANDCONCENTRATIONOFCONTRADICTIONSANDDISPUTES,DISPUTESTHE“TROUBLESHOOT,MEDIATE“SPECIALEVENTS,TRULY“THINGSNOTOUTOFTHEVILLAGE,ANDNOTOUTOFTOWN,THECONTRADICTIONISNOTSUBMITTED“SOUNDCLASSIFICATIONOFDISPUTESANDSEPARATIONSFOREARLYWARNING,DISPOSALSYSTEMSANDMAJORDISPUTESEXPRESS,REPORTINGANDZEROREPORTINGSYSTEM,ANDCONSTANTLYENHANCETHECONTRADICTIONANDDISPUTEINVESTIGATIONANDMEDIATIONWORKOFTHEFORESIGHT,INITIATIVEANDSCIENCEIMPROVETHERISKASSESSMENTOFMAJORDISPUTESMECHANISM,DOPREVENTIVEWORK1INJUNE,THEREGIONHASACCEPTEDMEDIATIONDISPUTES4299,4181MEDIATIONSUCCESS,THREELEVELMEDIATIONORGANIZATIONSACCEPTINGMEDIATIONIN1673,1648MEDIATIONSUCCESS,SUCCESSRATEOFMEDIATION9851115DISCOURAGEMASSPETITIONS,138METERWIDE,PREVENTINGCONTRADICTIONSFROMINTENSIFYING89,PREVENTTHETRANSFERPENALTYCASE4/6PEOPLEMEDIATIONCENTERMEDIATION,73,ALLMEDIATIONSUCCESSFUL,INVOLVEDCOMPENSATIONAMOUNTOF44165MILLIONYUAN,OFWHICH10DEATHDISPUTEINVOLVINGINDEMNITYAMOUNT2456MILLIONYUANTHIRD,THESOLIDFOUNDATIONTOENHANCETHESPECIALCROWDCONTROLLEVELOFEDUCATIONPROMOTETHECONSTRUCTIONOFJUDICIALADMINISTRATIVESTAGINGBATCHESTOPARTSOFTOWNSTREETBYJUSTICE,ANDTOWNSTREETLED,JUDICIALSTAFFTONEGOTIATETHECONSTRUCTIONOFJUDICIALADMINISTRATIVEDIFFICULTIESINTHEWORK,ANDCONDUCTEDDOORTODOORGUIDANCEINACCORDANCEWITHPROVINCIALREQUIREMENTS,STUDYGUIDETHETOWNPARKSTREETPUBLICLEGALSERVICESCENTRE,THEESTABLISHMENTOFTHEJUDICIALADMINISTRATIVESTATIONSINTHEVILLAGETHEPROVINCIALJUSTICEDEPARTMENTINVESTIGATIONABOUTTHECONSTRUCTIONOFJUDICIALADMINISTRATIVEONMARCH14,THEPROVINCIALOFFICEOFTHEDEPARTMENTOFJUSTICELEDTOTHESECONDCORRECTIONOFTHECONSTRUCTIONOFINFORMATIONPLATFORMBASEDONACTUALDEMANDORIENTEDCOMMUNITYCORRECTIONS,INACCORDANCEWITHTHEPRINCIPLEOFSIMPLEWORK,TOFURTHERIMPROVETHESYSTEM,OPTIMIZATION,ENHANCETHEINTEGRATIONOFINFORMATIONANDOPERATIONS,IMPROVEWORKEFFICIENCY,OURDISTRICTINTRANETPLATFORMOFCOMMUNITYCORRECTIONSCOMMUNITYINMATESINFORMATIONINPUTRATEOF100,MOBILEPOSITIONINGANDMONITORINGTOACHIEVEDAILYSPORADICCHECKSSTRICTLYREGULATETHEEVALUATIONOFCOMMUNITYCORRECTIONMECHANISM,IMPROVETHEQUALITYOFASSESSMENTSFURTHERSTANDARDIZETHEASSESSMENTMECHANISM,OFALLOBJECTSMUSTBESURVEYEDBYFIELDVISITS,PARTICIPANTSINCLUDECLOSERELATIVESOFTHEACCUSED,THEVILLAGENEIGHBORHOODCOMMITTEECADRE,THEVICTIM,POLICESTATIONS,ANDMAKECONVERSATIONTRANSCRIPTSSURVEYSINCLUDINGTHEDEFENDANTUSUALLY,NEIGHBORHOODS,THEVILLAGENEIGHBORHOODTHEOPINIONOFTHE1女，52岁。胆源性胰腺炎发作致上腹部疼痛伴恶心、呕吐，给予非手术治疗，目前正确的饮食护理是A禁食，不禁饮B禁饮食C低脂流食D低糖流食E低脂、低糖流食【答案】B【解析】考察急性胰腺炎的治疗原则。急性胰腺炎早期要禁食，减少进食对胰腺的刺激。2李先生，45岁，于饱餐、饮酒后突然发生中上腹持久剧烈疼痛。伴有反复恶心，呕吐胆汁。体检上腹部压痛，腹壁轻度紧张。测血清淀粉酶明显增高。对赵先生的首选处理措施是A禁食、胃肠减压B适当补钾、补钙C外科手术准备D屈膝侧卧位E应用抗生素【答案】A【解析】考察急性胰腺炎的治疗原则。急性胰腺炎应立即禁食并给予胃肠减压，其目的是为防止食物及胃液进入十二指肠，刺激胰腺分泌消化酶。3男，47岁。急腹痛2天，诊断为急性胰腺炎。下列关于其腹痛特征的描述错误的是A饱餐或饮酒后发生B疼痛位于中上腹C伴频繁呕吐D间隙发作性上腹剧痛E疼痛可向左腰部放射【答案】DTHECHILDVIIIHEALTHSUPERVISIONANDLAWENFORCEMENTACCELERATINGTHECONSTRUCTIONOFHEALTHINSPECTIONSYSTEM,COMPREHENSIVEIMPLEMENTATIONOFFOODSAFETYCOORDINATIONRESPONSIBILITIES,STRENGTHENINGHEALTHLAWENFORCEMENTANDSUPERVISION,INCREASETHEINTENSITYOFCOMBATOFILLEGALPRACTICEIXCARRYINGPATRIOTICPUBLICHEALTHCAMPAIGNFURTHERDEVELOPURBANANDRURALSANITATIONANDCLEAN,ANDPROMOTINGHEALTHEDUCATIONANDHEALTHPROMOTIONWORK,CREATESMOKEFREEHEALTHUNITSCARRYOUTACTIVITIES,FULLIMPLEMENTATIONOFTHERURALDRINKINGWATERANDLATRINESPROJECTXEFFORTSTORAISETHELEVELOFMEDICALSERVICESACTIVEIMPLEMENTATIONOFXXCOUNTYHOSPITALCONSTRUCTIONPROJECTS,STRENGTHENTHECOUNTYPEOPLESHOSPITALMEDICALBUILDING,UPGRADINGOFTOWNSHIPHOSPITALMEDICINESERVICES,ANDCONSTANTLYIMPROVETHELEVELOFSERVICE,ANDBETTERMEETTHENEEDSOFTHEPEOPLEINTEGRATEDANDOTHERHEALTHPROGRAMSCONTINUEDSOLIDJOBMAINTAININGSTABILITY,CARRYOUTTHE“HUIJU“WORKTOPROMOTECLEANGOVERNMENTANDANTICORRUPTIONWORKJIUFENG,ANDDOANEWROUNDOFHEALTHXINJIANGWORK,INCREASEDHEALTHLETTERS,COMPREHENSIVEMANAGEMENT,SAFETY,ENVIRONMENTALPROTECTION,FIREPROTECTION,LEGALWORK,ANDEFFORTSTOPROMOTETHEHEALTHYANDHARMONIOUSDEVELOPMENTOFHEALTHSERVICEDISTRICTJUDICIALCOUNCIL2015SUMMARYMATERIAL2015,XXDISTRICTJUDICIALCOUNCILINDISTRICT,ANDDISTRICTGOVERNMENTOFRIGHTLEDXIA,INSUPERIORBUSINESSSECTOROFCAREFULLYGUIDEXIA,INHEREMEMBERSLINEWINDSUPERVISOROFCAREGUIDEXIA,TOPARTYOF18BIGAND18SESSIONTHREEINTHE,ANDFOURINTHEPLENARYSPIRITFORGUIDELINES,INDEPTHIMPLEMENTIMPLEMENTATIONSCIENCEDEVELOPMENTVIEWS,ACCORDINGTOPROVINCE,ANDCITY,ANDDISTRICTUNIVERSITYWORKERSWORKSHOPANDEARLYFULLDISTRICTJUDICIALADMINISTRATIVEWORKSHOPOFDEPLOYMENT,TOSERVICEFULLDISTRICTECONOMICSOCIALDEVELOPMENTFORCENTER,TOCREATED“PEOPLEARESATISFIEDWITHASERVICEORIENTEDADMINISTRATIONOFJUSTICEBODIES“TOLEADTOFURTHERIMPROVEWORKSTYLE,IMPROVEADMINISTRATIVEEFFICIENCY,ANDFORTHEWHOLEAREAOFTHERULEOFLAWAREA,ACCELERATETHECONSTRUCTIONOFRULEXXPROVIDEAPOWERFULLEGALGUARANTEEANDREALIZETHENEWLEAPOFXXTHEJUDICIALADMINISTRATIVEWORKOURMAINAPPROACHISFIRST,INNOVATION,ANDCOMPREHENSIVELYPROMOTETHERULEOFLAWPUBLICITYANDEDUCATIONWORKAROUNDTHEMAINLINEOFSPIRITOFCARRYINGFORWARDTHESOCIALISTCONCEPTOFTHERULEOFLAW,FULLYSIXDYNAMIC,EXTENSIVEFRANCOPRUSSIANDISTRICTACTIVITIESOUTOF45PERCENTTHISYEAR,SENDINGPICTURES,LITERATURE,MORETHAN40,000COPIESYOUNGFRANCOPRUSSIAN,SETOFFACLIMAXTHROUGHTHE“LEARNINGCHILDSTAR“AND“VCDYOUTH“DOUBLEHUNDREDSELECTION,“METHODINTHEHEART,ONTHELINE“ESSAY,“LUCKYSTAROFENGLISHLAW“ANDOTHERACTIVITIES,SETOFFANEWROUNDOFYOUNGPEOPLEACROSSTHEDISTRICTLAW,USAGE,ABIDEBYTHECLIMAXSECOND,STRENGTHENMANAGEMENTANDSTRIVETOBUILDANEWPATTERNOFMEDIATIONFULLMEDIATIONVIDEOCOMMANDSYSTEM,THEROLEOFMEDIATIONNETWORKACADEMY,PROMOTINGMEDIATIONNETWORKENTITIESANDTHEACHIEVEMENTOFPRACTICALRESULTSENHANCEDGRIDTROUBLESHOOTINGWARNINGMECHANISM,CONTINUETOPROMOTEMEDICAL,PUBLIC,ANDPROSECUTORS,AGAINSTREGULATION,CONSUMERCULTURE,SUCHASDOCKING,PROFESSIONALMEDIATIONORGANIZATIONSOFNORMALIZEDANDSTANDARDIZEDCONSTRUCTION,URBANMANAGEMENT,LOGISTICS,LAND,ANDMORENEWPROFESSIONALINTHEFIELDOFMEDIATIONANDDOCKINGMECHANISMESTABLISHMENTOFNPCDEPUTIESANDCPPCCMEMBERS,COMMUNITYORGANIZATIONSANDOTHERMECHANISMFORTHIRDPARTIESTOPARTICIPATEINMEDIATIONTORESOLVETHECONTRADICTION,FORMINGTHE“PARTICIPATIONOFTHEWHOLESOCIETY,THEWHOLEAREACOVERS“OFTHEMEDIATIONNETWORKAND“MAKECONCERTEDEFFORTSANDMUTUALACCOUNTABILITY“OFTHEMEDIATIONSYSTEMTROUBLESHOOTINGWARNINGTODEEPENTHEGRIDMODEMESHANDSTAFFINGCONTINUESTOSOUND,TROUBLESHOOTINGWARNINGSYSTEMOFGRIDCOVERAGETOWNLINKEDTOTHEPATCHLEVELMEDIATIONCENTERPERSONNELMASTERINGRESPONSIBILITIESGRIDCELLANDTOWNLEVELINDIVIDUALGRIDCELLSANDRESPONSIBILITIESGRIDGRIDINFORMATIONCONTACTTHELONGPOINTBASIS,ASSISTINGTHEPRODUCTIONLIFEOFTHEMASSESINTHEENCOUNTEREDPROBLEMSANDDISPUTES,FOUNDSIGNSOFHIDDENTROUBLETOREPORTFIRSTTOTHEUPPERGRIDINACCORDANCEWITHTHESCREENINGREQUIREMENTSOFGRID,EFFORTSTOINCREASEFREQUENCYANDCONCENTRATIONOFCONTRADICTIONSANDDISPUTES,DISPUTESTHE“TROUBLESHOOT,MEDIATE“SPECIALEVENTS,TRULY“THINGSNOTOUTOFTHEVILLAGE,ANDNOTOUTOFTOWN,THECONTRADICTIONISNOTSUBMITTED“SOUNDCLASSIFICATIONOFDISPUTESANDSEPARATIONSFOREARLYWARNING,DISPOSALSYSTEMSANDMAJORDISPUTESEXPRESS,REPORTINGANDZEROREPORTINGSYSTEM,ANDCONSTANTLYENHANCETHECONTRADICTIONANDDISPUTEINVESTIGATIONANDMEDIATIONWORKOFTHEFORESIGHT,INITIATIVEANDSCIENCEIMPROVETHERISKASSESSMENTOFMAJORDISPUTESMECHANISM,DOPREVENTIVEWORK1INJUNE,THEREGIONHASACCEPTEDMEDIATIONDISPUTES4299,4181MEDIATIONSUCCESS,THREELEVELMEDIATIONORGANIZATIONSACCEPTINGMEDIATIONIN1673,1648MEDIATIONSUCCESS,SUCCESSRATEOFMEDIATION9851115DISCOURAGEMASSPETITIONS,138METERWIDE,PREVENTINGCONTRADICTIONSFROMINTENSIFYING89,PREVENTTHETRANSFERPENALTYCASE4/6PEOPLEMEDIATIONCENTERMEDIATION,73,ALLMEDIATIONSUCCESSFUL,INVOLVEDCOMPENSATIONAMOUNTOF44165MILLIONYUAN,OFWHICH10DEATHDISPUTEINVOLVINGINDEMNITYAMOUNT2456MILLIONYUANTHIRD,THESOLIDFOUNDATIONTOENHANCETHESPECIALCROWDCONTROLLEVELOFEDUCATIONPROMOTETHECONSTRUCTIONOFJUDICIALADMINISTRATIVESTAGINGBATCHESTOPARTSOFTOWNSTREETBYJUSTICE,ANDTOWNSTREETLED,JUDICIALSTAFFTONEGOTIATETHECONSTRUCTIONOFJUDICIALADMINISTRATIVEDIFFICULTIESINTHEWORK,ANDCONDUCTEDDOORTODOORGUIDANCEINACCORDANCEWITHPROVINCIALREQUIREMENTS,STUDYGUIDETHETOWNPARKSTREETPUBLICLEGALSERVICESCENTRE,THEESTABLISHMENTOFTHEJUDICIALADMINISTRATIVESTATIONSINTHEVILLAGETHEPROVINCIALJUSTICEDEPARTMENTINVESTIGATIONABOUTTHECONSTRUCTIONOFJUDICIALADMINISTRATIVEONMARCH14,THEPROVINCIALOFFICEOFTHEDEPARTMENTOFJUSTICELEDTOTHESECONDCORRECTIONOFTHECONSTRUCTIONOFINFORMATIONPLATFORMBASEDONACTUALDEMANDORIENTEDCOMMUNITYCORRECTIONS,INACCORDANCEWITHTHEPRINCIPLEOFSIMPLEWORK,TOFURTHERIMPROVETHESYSTEM,OPTIMIZATION,ENHANCETHEINTEGRATIONOFINFORMATIONANDOPERATIONS,IMPROVEWORKEFFICIENCY,OURDISTRICTINTRANETPLATFORMOFCOMMUNITYCORRECTIONSCOMMUNITYINMATESINFORMATIONINPUTRATEOF100,MOBILEPOSITIONINGANDMONITORINGTOACHIEVEDAILYSPORADICCHECKSSTRICTLYREGULATETHEEVALUATIONOFCOMMUNITYCORRECTIONMECHANISM,IMPROVETHEQUALITYOFASSESSMENTSFURTHERSTANDARDIZETHEASSESSMENTMECHANISM,OFALLOBJECTSMUSTBESURVEYEDBYFIELDVISITS,PARTICIPANTSINCLUDECLOSERELATIVESOFTHEACCUSED,THEVILLAGENEIGHBORHOODCOMMITTEECADRE,THEVICTIM,POLICESTATIONS,ANDMAKECONVERSATIONTRANSCRIPTSSURVEYSINCLUDINGTHEDEFENDANTUSUALLY,NEIGHBORHOODS,THEVILLAGENEIGHBORHOODTHEOPINIONOFTHE【解析】考察急性胰腺炎的临床表现。腹痛可为钝痛、绞痛、钻痛或刀割样痛，疼痛剧烈而持续，可有阵发性加剧。4患者，女性，52岁。饱餐后上腹部剧痛6小时，伴恶心呕吐，呕吐物为胃内容物，吐后腹痛更加剧，如刀割样。体格检查体温380，脉搏126次/分，血压80/60MMHG，痛苦面容，腹胀，全腹肌紧张，压痛及反跳痛，以上腹部痛为重，肠鸣音消失，右下腹穿刺得淡红色血性液体，血白细胞12109/L，血淀粉酶310U/DL，血钙25MMOL/L，诊断应考虑A急性胃炎B胆囊穿孔，弥漫性腹膜炎C溃疡病穿孔，弥漫性腹膜炎D急性出血坏死性胰腺炎E急性绞窄性肠梗阻【答案】D【解析】考察急性胰腺炎的临床表现和辅助检查。病人饱餐后出现持续性腹痛，以及腹膜炎表现，腹穿液淀粉酶升高且为血性，高度提示急性出血坏死性胰腺炎。5女，36岁。上腹部疼痛伴恶心、呕吐已8日，考虑为急性胰腺炎。其不会引起的并发症是A腹膜炎B胰腺脓肿C胰腺癌D胰腺假性囊肿E休克【答案】C【解析】局部并发症有胰腺脓肿和假性囊肿，全身并发症如急性肾衰竭、急性呼吸窘迫综合征、心力衰竭、消化道出血、胰性脑病、败血症、弥散性血管内凝血、腹膜炎、休克等。6女，56岁，胆石症病史10年。上腹部剧痛伴呕吐。疑为急性胰腺炎，其治疗措施，下列错误的是A抗感染B应用生长抑素C应用胰酶抑制剂THECHILDVIIIHEALTHSUPERVISIONANDLAWENFORCEMENTACCELERATINGTHECONSTRUCTIONOFHEALTHINSPECTIONSYSTEM,COMPREHENSIVEIMPLEMENTATIONOFFOODSAFETYCOORDINATIONRESPONSIBILITIES,STRENGTHENINGHEALTHLAWENFORCEMENTANDSUPERVISION,INCREASETHEINTENSITYOFCOMBATOFILLEGALPRACTICEIXCARRYINGPATRIOTICPUBLICHEALTHCAMPAIGNFURTHERDEVELOPURBANANDRURALSANITATIONANDCLEAN,ANDPROMOTINGHEALTHEDUCATIONANDHEALTHPROMOTIONWORK,CREATESMOKEFREEHEALTHUNITSCARRYOUTACTIVITIES,FULLIMPLEMENTATIONOFTHERURALDRINKINGWATERANDLATRINESPROJECTXEFFORTSTORAISETHELEVELOFMEDICALSERVICESACTIVEIMPLEMENTATIONOFXXCOUNTYHOSPITALCONSTRUCTIONPROJECTS,STRENGTHENTHECOUNTYPEOPLESHOSPITALMEDICALBUILDING,UPGRADINGOFTOWNSHIPHOSPITALMEDICINESERVICES,ANDCONSTANTLYIMPROVETHELEVELOFSERVICE,ANDBETTERMEETTHENEEDSOFTHEPEOPLEINTEGRATEDANDOTHERHEALTHPROGRAMSCONTINUEDSOLIDJOBMAINTAININGSTABILITY,CARRYOUTTHE“HUIJU“WORKTOPROMOTECLEANGOVERNMENTANDANTICORRUPTIONWORKJIUFENG,ANDDOANEWROUNDOFHEALTHXINJIANGWORK,INCREASEDHEALTHLETTERS,COMPREHENSIVEMANAGEMENT,SAFETY,ENVIRONMENTALPROTECTION,FIREPROTECTION,LEGALWORK,ANDEFFORTSTOPROMOTETHEHEALTHYANDHARMONIOUSDEVELOPMENTOFHEALTHSERVICEDISTRICTJUDICIALCOUNCIL2015SUMMARYMATERIAL2015,XXDISTRICTJUDICIALCOUNCILINDISTRICT,ANDDISTRICTGOVERNMENTOFRIGHTLEDXIA,INSUPERIORBUSINESSSECTOROFCAREFULLYGUIDEXIA,INHEREMEMBERSLINEWINDSUPERVISOROFCAREGUIDEXIA,TOPARTYOF18BIGAND18SESSIONTHREEINTHE,ANDFOURINTHEPLENARYSPIRITFORGUIDELINES,INDEPTHIMPLEMENTIMPLEMENTATIONSCIENCEDEVELOPMENTVIEWS,ACCORDINGTOPROVINCE,ANDCITY,ANDDISTRICTUNIVERSITYWORKERSWORKSHOPANDEARLYFULLDISTRICTJUDICIALADMINISTRATIVEWORKSHOPOFDEPLOYMENT,TOSERVICEFULLDISTRICTECONOMICSOCIALDEVELOPMENTFORCENTER,TOCREATED“PEOPLEARESATISFIEDWITHASERVICEORIENTEDADMINISTRATIONOFJUSTICEBODIES“TOLEADTOFURTHERIMPROVEWORKSTYLE,IMPROVEADMINISTRATIVEEFFICIENCY,ANDFORTHEWHOLEAREAOFTHERULEOFLAWAREA,ACCELERATETHECONSTRUCTIONOFRULEXXPROVIDEAPOWERFULLEGALGUARANTEEANDREALIZETHENEWLEAPOFXXTHEJUDICIALADMINISTRATIVEWORKOURMAINAPPROACHISFIRST,INNOVATION,ANDCOMPREHENSIVELYPROMOTETHERULEOFLAWPUBLICITYANDEDUCATIONWORKAROUNDTHEMAINLINEOFSPIRITOFCARRYINGFORWARDTHESOCIALISTCONCEPTOFTHERULEOFLAW,FULLYSIXDYNAMIC,EXTENSIVEFRANCOPRUSSIANDISTRICTACTIVITIESOUTOF45PERCENTTHISYEAR,SENDINGPICTURES,LITERATURE,MORETHAN40,000COPIESYOUNGFRANCOPRUSSIAN,SETOFFACLIMAXTHROUGHTHE“LEARNINGCHILDSTAR“AND“VCDYOUTH“DOUBLEHUNDREDSELECTION,“METHODINTHEHEART,ONTHELINE“ESSAY,“LUCKYSTAROFENGLISHLAW“ANDOTHERACTIVITIES,SETOFFANEWROUNDOFYOUNGPEOPLEACROSSTHEDISTRICTLAW,USAGE,ABIDEBYTHECLIMAXSECOND,STRENGTHENMANAGEMENTANDSTRIVETOBUILDANEWPATTERNOFMEDIATIONFULLMEDIATIONVIDEOCOMMANDSYSTEM,THEROLEOFMEDIATIONNETWORKACADEMY,PROMOTINGMEDIATIONNETWORKENTITIESANDTHEACHIEVEMENTOFPRACTICALRESULTSENHANCEDGRIDTROUBLESHOOTINGWARNINGMECHANISM,CONTINUETOPROMOTEMEDICAL,PUBLIC,ANDPROSECUTORS,AGAINSTREGULATION,CONSUMERCULTURE,SUCHASDOCKING,PROFESSIONALMEDIATIONORGANIZATIONSOFNORMALIZEDANDSTANDARDIZEDCONSTRUCTION,URBANMANAGEMENT,LOGISTICS,LAND,ANDMORENEWPROFESSIONALINTHEFIELDOFMEDIATIONANDDOCKINGMECHANISMESTABLISHMENTOFNPCDEPUTIESANDCPPCCMEMBERS,COMMUNITYORGANIZATIONSANDOTHERMECHANISMFORTHIRDPARTIESTOPARTICIPATEINMEDIATIONTORESOLVETHECONTRADICTION,FORMINGTHE“PARTICIPATIONOFTHEWHOLESOCIETY,THEWHOLEAREACOVERS“OFTHEMEDIATIONNETWORKAND“MAKECONCERTEDEFFORTSANDMUTUALACCOUNTABILITY“OFTHEMEDIATIONSYSTEMTROUBLESHOOTINGWARNINGTODEEPENTHEGRIDMODEMESHANDSTAFFINGCONTINUESTOSOUND,TROUBLESHOOTINGWARNINGSYSTEMOFGRIDCOVERAGETOWNLINKEDTOTHEPATCHLEVELMEDIATIONCENTERPERSONNELMASTERINGRESPONSIBILITIESGRIDCELLANDTOWNLEVELINDIVIDUALGRIDCELLSANDRESPONSIBILITIESGRIDGRIDINFORMATIONCONTACTTHELONGPOINTBASIS,ASSISTINGTHEPRODUCTIONLIFEOFTHEMASSESINTHEENCOUNTEREDPROBLEMSANDDISPUTES,FOUNDSIGNSOFHIDDENTROUBLETOREPORTFIRSTTOTHEUPPERGRIDINACCORDANCEWITHTHESCREENINGREQUIREMENTSOFGRID,EFFORTSTOINCREASEFREQUENCYANDCONCENTRATIONOFCONTRADICTIONSANDDISPUTES,DISPUTESTHE“TROUBLESHOOT,MEDIATE“SPECIALEVENTS,TRULY“THINGSNOTOUTOFTHEVILLAGE,ANDNOTOUTOFTOWN,THECONTRADICTIONISNOTSUBMITTED“SOUNDCLASSIFICATIONOFDISPUTESANDSEPARATIONSFOREARLYWARNING,DISPOSALSYSTEMSANDMAJORDISPUTESEXPRESS,REPORTINGANDZEROREPORTINGSYSTEM,ANDCONSTANTLYENHANCETHECONTRADICTIONANDDISPUTEINVESTIGATIONANDMEDIATIONWORKOFTHEFORESIGHT,INITIATIVEANDSCIENCEIMPROVETHERISKASSESSMENTOFMAJORDISPUTESMECHANISM,DOPREVENTIVEWORK1INJUNE,THEREGIONHASACCEPTEDMEDIATIONDISPUTES4299,4181MEDIATIONSUCCESS,THREELEVELMEDIATIONORGANIZATIONSACCEPTINGMEDIATIONIN1673,1648MEDIATIONSUCCESS,SUCCESSRATEOFMEDIATION9851115DISCOURAGEMASSPETITIONS,138METERWIDE,PREVENTINGCONTRADICTIONSFROMINTENSIFYING89,PREVENTTHETRANSFERPENALTYCASE4/6PEOPLEMEDIATIONCENTERMEDIATION,73,ALLMEDIATIONSUCCESSFUL,INVOLVEDCOMPENSATIONAMOUNTOF44165MILLIONYUAN,OFWHICH10DEATHDISPUTEINVOLVINGINDEMNITYAMOUNT2456MILLIONYUANTHIRD,THESOLIDFOUNDATIONTOENHANCETHESPECIALCROWDCONTROLLEVELOFEDUCATIONPROMOTETHECONSTRUCTIONOFJUDICIALADMINISTRATIVESTAGINGBATCHESTOPARTSOFTOWNSTREETBYJUSTICE,ANDTOWNSTREETLED,JUDICIALSTAFFTONEGOTIAT