36.50歲劉先生因胃癌,1個半月前接受根除性次全胃切除手術(radical subtotal gastrectomy & Billroth-II gastrojejunostomy, ante-colic,病理檢查為T2b N1M0。恢復過程順利,術後10天出院。兩天前腹部不適,3小時前開始腹痛加劇及嘔吐,急診時生命徵象穩定,但冒冷汗。身體檢查上腹部有明顯壓痛,疑似觸摸到腹部腫塊,腸蠕動增加,除serum amylase 867 U/L,WBC 16290 /mm3外,血液檢查正常。放入鼻胃管後只有少量胃液回流,此時最可能的診斷為何?
(A)gastric cancer recurrence
(B)anastomotic leakage
(C)acute pancreatitis
(D)afferent loop syndrome
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統計:
A(4), B(12), C(13), D(107), E(0) #1385623