问题 单项选择题

早产儿、新生儿出血宜选用()。

A.叶酸

B.肝素

C.尿激酶

D.维生素K1

E.氨基己酸

答案

参考答案:D

解析:

本组题考查要点是“药物的临床应用”。尿激酶用于血栓栓塞性疾病的溶栓治疗,包括急性广泛性肺栓塞、胸痛6~12小时内的冠状动脉栓塞和心肌梗死、症状短于3~6小时的急性期脑血管栓塞、视网膜动脉栓塞和其他外周动脉栓塞症状严重的髂-股静脉血栓形成者;人工心瓣手术后预防血栓形成。氨基己酸用于预防及治疗急性或慢性、局限性或全身性原发性纤维蛋白溶解亢进所致的各种出血。

包括:

①前列腺、 * * 、肺、脑、子宫、肾上腺、甲状腺、肝等富有纤溶酶原激活物脏器的外伤或手术出血。

②用作组织型纤溶酶原激活物、链激酶及尿激酶的拮抗物,上述药物过量时用于止血。

③弥散性血管内凝血(DIC)晚期,以防继发性纤溶亢进症。

④可作为血友病患者拔牙或口腔手术后出血或月经过多的辅助治疗。

⑤用于上消化道出血、咯血、原发性血小板减少性紫癜和白血病等各种出血的对症治疗,对一般慢性渗血效果显著。肝素用于防治血栓形成或栓塞性疾病(如心肌梗死、血栓性静脉炎、肺栓塞等),各种原因引起的弥散性血管内凝血,血液透析、体外循环、导管检查手术、介入治疗时的血栓形成,以及某些血液标本或器械的抗凝处理。叶酸用于各种原因引起的叶酸缺乏及由叶酸缺乏所致的巨幼红细胞性贫血;小剂量用于妊娠期妇女预防胎儿神经管畸形。维生素K1用于维生素K1缺乏引起的出血,如梗阻性黄疸、胆瘘、慢性腹泻等所致出血,香豆素类、水杨酸类等所致的低凝血酶原血症,新生儿出血以及长期应用广谱抗生素所致的体内维生素K1缺乏。

完形填空
One day my 5-year-old daughter, Mini, ran to the window crying: "A Cabuliwallah(喀布尔商贩)!A Cabuliwallah!" In the street below was Rahmun,a Cabuliwallah passing slowly along. Mini called him  21   ,but when he looked at her she ran away scared.    As time went by, they got to know each other and started to    22   together,
laughing and talking all the way. Rahmun would give her grapes and strawberries,spending the Iittle money he had 23   her. The two often enjoyed jokng together.Rahmun   24   say: "Well, little one, when are you going to the father-in-law's house?"Mini did not understand this and was   25    .
One morning,l saw Rahmun being led away by the police. There was some blood on his clothes .I   26 a neighbor had owed Rahmun money but denied it,and that in the course of the   27   Rahmun had struck him. On a charge of murderous attack, Rahmunwas   28   to prison.
Time passed. Mini grew up and we were making arrangements,for her  29    .I was sitting in my study   30   someone entered. It was Rahmun, his face pale and dirty and I could   31  recognize him! He said all those years ago Mini -had reminded him of his own daughter in Kabul. It was his belief that Mini was   32  the same. He  had   once   33   Mini running to him calling 66 A Cabuliwallah!" and pictured them laughing and talking together.
The two were now reunited. But when he made   34  once more, Mini's face turned red. They could not recover their old  35   .When Rahmun left,  l gave  him a bank note,   36  : "Go back to your own daughter, and may the happiness of your meeting bring good  37   to my child!"
Having made this  present,I had to  38   the electric lights and the music band  I had intended for the wedding and the ladies in the house were   39   .But to me the wedding was all the   40   for the thought that in a distant land a long-lost father met again with his child.
小题1:
A.loudlyB.proudlyC.seriouslyD.firmly
小题2:
A.work outB.run outC.hang outD.stand out
小题3:
A.inB.onC.toD.at
小题4:
A.wouldB.shouldC.mustD.could
小题5:
A.concernedB.frightenedC.puzzledD.ashamed
小题6:
A.insistedB.doubtedC.announcedD.heard
小题7:
A.escapeB.quarrelC.communicationD.bargain
小题8:
A.punished B.admittedC.droppedD.sentenced
小题9:
A.weddingB.birthdayC.graduationD.promotion
小题10:
A.whileB.afterC.unlessD.when
小题11:
A.nearlyB.actuallyC.hardlyD.simply
小题12:
A.evenB.stillC.justD.yet
小题13:
A.caughtB.imaginedC.avoidedD.kept
小题14:
A.jokesB.commentsC.suggestionsD.requests
小题15:
A.beliefB.impressionC.friendshipD.energy
小题16:
A.readingB.writingC.tellingD.saying
小题17:
A.fortuneB.treasureC.supportD.comfort
小题18:
A.put offB.give up C.turn toD.care about
小题19:
A.movedB.delightedC.worriedD.disappointed
小题20:
A.clearerB.easierC.brighterD.quieter
单项选择题