A3型题初产妇,孕37周,清晨骤醒发现躺在血中,急诊入院,查血压12/8kPa(90/60mmHg),脉搏120次/分,神清,胎心音160次/分,阴道少量活动性流血。 你认为最恰当的处理是()
A. 止血,输液,等待足月终止妊娠
B. 争取破膜后头皮钳牵引压迫止血
C. 输血补液,待血压心率稳定,胎心正常后行剖宫产术
D. 立即备血,急症剖宫产术
E. 备血或输血情况下根据胎方位及胎产式决定分娩方式
A3型题女,28岁,诉妊娠4+月,昨搬重物后,腰酸,下坠感,今上午下腹始有阵痛,持续加重,半小时前阴道有流液,量较多,湿透内裤,急诊来院。 如确诊胎膜已破,此患者最适当处理是()
A. 安胎
B. 刮宫
C. 用宫缩药物尽早使胚胎,胎盘组织排出
D. 抗炎
E. 输血
Questions 11 to 18 are based on the conversation you have just heard.
A. He has to wash a thousand dishes.
B. He has more dishes than his brother.
C. His brother takes too much time washing the dishes.
D. He has asked his brother to wash the dishes many times.
A3型题28岁,阴道大出血3小时急诊入院。体检:血压:80/50mmHg,阴道大量活动性出血,可见烂肉样物,子宫如6周妊娠大小,软,双附件区未触及肿物。 首先应询问有无()
A. 避孕史
B. 腹痛
C. 外伤史
D. 停经史
E. 性生活史