问题
单项选择题
一贫血女性，34岁，妊娠6个月，既往月经过多。查：血红蛋白75g/L，红细胞3.3×1012/L，网织细胞0.02，血清铁460μg/L，总铁结合力4600μg/L，血清总胆红素2.0μmol/L。最可能的诊断是（）
A.妊娠期巨幼细胞贫血
B.失血性贫血
C.缺铁性贫血
D.溶血性贫血
E.铁幼粒细胞性贫血
答案
参考答案：C
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一贫血女性，34岁，妊娠6个月，既往月经过多。查：血红蛋白75g/L，红细胞3.3×1012/L，网织细胞0.02，血清铁460μg/L，总铁结合力4600μg/L，血清总胆红素2.0μmol/L。最可能的诊断是（）
A.妊娠期巨幼细胞贫血
B.失血性贫血
C.缺铁性贫血
D.溶血性贫血
E.铁幼粒细胞性贫血
参考答案：C
Many years ago, I owned a service station and roadhouse on the main road between Melbourne and Adelaide. One very cold, wet night at about 3:30 a.m., there was a 36 on the front door of our house. A young man, wet from 37 to toe, explained that he had 38 out of petrol about 30 km up the road. He had left his pregnant wife and his two children 39 at the car and said that he would hitchhike(搭便车) back. Once I had 40 a can with petrol, I took him back to his car where his two-year-old and four-year-old children were both 41 , saying that they were cold. Once the car had started, I suggested that he 42 me back. Before leaving, I had turned the heater 43 in the roadhouse, so that when we went in, it was nice and 44 .While the little ones played and ran 45 ,I prepared bread and butter for the children, and hot chocolate for the 46 . It was about 5 a.m. before they 47 .The young fellow asked me how much he 48 me and I told him that the petrol pump had 49 $15.He offered to pay “call-out fee”, but I wouldn’t accept it. About a month later, I received a 50 from Interstate, a large bus company that we had been trying to 51 to stop off at our roadhouse for a long time. It 52 out that the young fellow I had helped was its general manager, the most 53 person in the company. In his letter, he thanked me again and 54 me that, from then on, all their buses would stop at my service station. In this 55 ,a little bit of kindness was rewarded with a huge amount of benefits.
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