问题
单项选择题 案例分析题
足月女婴，生后24小时内出现黄疸，拒哺。查体：嗜睡，面色苍白，Hb90g/L，血清未结合胆红素342μmol/L。
首选的治疗是（）
A.输注葡萄糖液
B.应用抗生素
C.应用病毒唑
D.换血疗法
E.光照疗法
答案
参考答案：D
解析：本患儿生后1天内出现黄疸，Hb<120g/L，考虑换血疗法，防止高胆红素脑病的发生。
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足月女婴，生后24小时内出现黄疸，拒哺。查体：嗜睡，面色苍白，Hb90g/L，血清未结合胆红素342μmol/L。
首选的治疗是（）
A.输注葡萄糖液
B.应用抗生素
C.应用病毒唑
D.换血疗法
E.光照疗法
参考答案：D
解析：本患儿生后1天内出现黄疸，Hb<120g/L，考虑换血疗法，防止高胆红素脑病的发生。
You Are Going Places One day I came home from school, changed my clothes and got ready for work．I work at a local restaurant in town as a cashier, seater and waiter． I went to work feeling 31 . And to make matters worse, I was busy that evening．It' s the same thing over and over again． 32 with customers who complain about their food and where they are 33 is too big or too small．Little things like that tend to 34 a lot of us 35 but we manage to deal with it． Three elderly ladies walked in and sat by the windows．It happened to be the very 36 near where I keep the dirty 37 in the boxes．Trying to keep up with all the dirty tables, customers leaving and coming in and 38 running all over the house, it was crazy． 39 these elderly women were watching 40 I was working to make sure every table was clean and ready for the next customers． When they 41 their meals, I took their plates back to the kitchen．They talked to me for a while about school, how I was doing, what 42 I was in and what I planned to do in the future． 43 they were leaving, they walked past me and one of them said to me in a 44 and gentle voice, "You are going places．And that was it．They left the 45 and I had tears in my eyes, because they gave me 46 to believe in myself．They 47 my spirit from being down and gave me a 48 to keep on working hard． People used to tell me that I could not have a career in 49 until I had a degree．I'm now a co-anchor （联合主持人）of a student-produced television 50 . And the best thing is: I'm only 17 years old and I am a senior in high school．
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