问题 问答题 案例分析题

患儿×××之女,女性,日龄2天,以“吐血伴便中带血半天”为诉入院。患儿系G2P1孕38W,出生时Apgar评分1分钟9分,5分钟10分,体重3600克,生后以奶粉喂养,吸力欠佳,于昨日夜间出现吐血,吐物为含有暗红色血块,量多。随后排大便为柏油样血便2次,给予急查大便常规示大便潜血实验(阳性),给予口服思密达治疗,效果不佳,今日晨间患儿大便仍为血便,为进一步治疗,以“新生儿出血症”收住我科.病程中无抽搐,发热,吃奶欠佳,小便正常。生后未注射维生素K1针剂。入院查体:T36.5℃P123次/分R40次/分W3600g,精神反应好,皮肤红润,双肺呼吸音清,心率123次/分,律齐,心音有力,未闻及杂音,腹软,肝脾不大,双下肢无浮肿,四肢肌张力正常,原始反射引出正常。急查化验示凝血酶原及部分凝血活酶的时间延长,而出血时间、血小板计数正常。血常规回报示:HB141g/L。

治疗原则。

答案

参考答案:1、一般治疗有消化道出血是应禁食,待便血控制,粪隐血阴性后给予喂养。2、特殊治疗(1)维生素K1疗法5-10mg/日,静脉注射,连用3天;(2)输新鲜血重症出血者输新鲜全血,按10-20ml/(kg.次),可及时补充凝血因子,纠正低血压和贫血。

阅读理解

任务型阅读

请根据Nancy, Jerry, Charlie, Lucy 和Bob的不同特点,为他们选择适合他们的餐馆。

( )1. Nancy, a seventy-year-old granny, lives near the center of the city. She often gets up early and she wants to have

dinner near her house. She likes fresh salads very much.

( )2. Jerry, a school boy who likes having dinner with his friends. He likes chatting with his friends while he is having

dinner. And they want to have dinner with little money.

( )3. Charlie, an Australian art teacher. He likes drinking a cup of coffee after meals. And he often chats on MSN with

his daughter when he drinks coffee.

( )4. Lucy is a college student who majors in Chinese Culture. She is interested in Chinese music and Chinese tea.

( )5. Bob, a businessman from England, likes fish and chips very much.

       A. The Steak House: It has thick steaks(牛排), fresh salads and the best fresh fries. You need to get there before 8

a.m. to get a table because it gets crowded after that. It's closer to the center of the city.

       B. The Fish House: It 's really great for people who like fish. It's easier to get a table.

       C. Hamburger Heaven: It's popular with teenagers. It's cheap. There are many big tables for 8-10 persons. You can

enjoy the pop music and chat with your friends.

       D. Hot Coffee: You can listen to the latest hits, get the best coffee in town and eat the most delicious ice-cream. And

you can surf the internet in it.

       E. Tea House: You can drink a cup of green tea. You can also enjoy a Chinese traditional tea show. You can read

some books about Chinese culture in the house and listen to Liangzhu.

单项选择题 A1/A2型题