胎盘娩出后 * * 多量出血，宫体软，伴轮廓不清：
A．胎盘剥离不全
B．子宫胎盘卒中
C．凝血功能障碍
D．宫缩乏力
E．软产道损伤
参考答案：D
解析：胎儿娩出时或娩出后，即出现活动性鲜红色血液自 * * 流出，多为软产道损伤所致，及时进行 * * 检查即可发现。胎盘娩出后出血，若胎盘胎膜完整，触诊子宫体柔软，甚至轮廓不清，经按摩子宫后宫缩好转，出血明显减少或停止，停止按摩，子宫又弛缓变软，出环球网校血呈间歇性，则为子宫收缩乏力；若胎盘、胎膜有缺损，则考虑为胎盘、胎膜残留所致，应及时探查宫腔清除之；如果软产道无损伤，胎盘娩出完整，宫缩良好，仍有持续性 * * 出血且血液不易凝固，应考虑为凝血功能障碍，需进一步做凝血功能的检查。
Mrs. Smith was looking at the show window of a shop selling shirts. She wanted to buy a 1 for Mr. Smith, her husband. There were so many beautiful shirts that she couldn’t decide 2 At last, she chose one and bought it home. While Mr. Smith was reading a newspaper, she showed him the shirt. She wanted to know whether it would fit her husband or not. Her husband 3 the shirt. But it didn’t fit him 4 It was both too long and too big. Then Mrs. Smith washed it in order to make it become smaller. But the shir 5 didn’t fit him. Now it was too small for him. She asked Tom, his son, to 6 and he did so. The shirt didn’t fit him, Then the woman began to wash the shirt once more to make it 7 . But this time the shirt became too short after she washed it again. Now the little girl, her daughter was 8 when her mother dressed her in the shirt. Why? Because it was too large, she didn’t like it at all. None of them knew 9 Mrs. Smith felt so upset.
|