患儿×××之女，女性，日龄2天，以“吐血伴便中带血半天”为诉

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。
A woman is at the cinema, and she is enjoying the film very much, but there is a man in the next seat, and he begins looking at the floor under her. The woman is angry and asks,"What are you doing there? What are you looking for?" "A piece of chocolate." The man says to her, "I drop(掉落)it on the floor." "A piece of chocolate?" the woman says angrily, "It is dirty now. Take this and be quiet, please. I am listening to the film." She gives the man a big piece of chocolate. But the man says, "One of my teeth is in the chocolate!"

1. Where are the man and the woman?
A. They are in a school B. They are at the station C. They are at a shop D. They are at the cinema
2. The man sits ______ the woman.
A. next to B. in front of C. behind D. on the left of
3. The underlined word "angry" means ______.
A. not sad B. not light C. not happy D. not heavy
4.The man wants to find the piece of chocolate because ______.
A. the piece of chocolate is very expensive. B. one of his teeth is in the chocolate. C. he likes chocolate very much D. he wants to keep the cinema clean
5. The woman gives the man a piece of chocolate because ______.
A. she is friendly to him B. she wants to enjoy the film better C. the piece of chocolate is the man's D. she likes the man