A3型题女,36岁,停经106天,尿妊娠试验阳性。妇科检查见阴道有不完全横隔,子宫左前方有15孕周大的圆形肿块,与子宫相连但可分离,B超宫腔内无胚胎,而宫旁肿块内有胚胎图像,手术所见妊娠肿块居于圆韧带附着处的外侧。 最可能诊断是()
A. 输卵管间质妊娠
B. 卵巢妊娠
C. 子宫残角妊娠
D. 腹腔妊娠
E. 宫颈妊娠
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It’s an age-old (36) : Men are from Mars; Women are from Venus. Males and females show different behaviors almost from (37) Researchers say these behaviors are (38) to basic differences in brain (39) and activity. Studies show men are better at hitting (40) and solving math problems (41) women are better at memorizing words and (42) faces. Why the difference (43) , Scientists al ready know that the two sides of the brain control different functions--one controlling the sense of space, for example, the other controlling language. (44) , when cave men hunted and women cared for the children. Men had to have good arm. Women had to talk to the kids. Whatever the explanation, the battle of the sexes continues. (45) . They may simply rely on different abilities. Take a couple arguing over the location of their car in a parking lot. The man might use his sense of space to find it, while the woman relies on her recognition of landmarks. (46) . But chances are, they’ll still argue about who’s the better driver and who’s better at finding the way home.
A3型题停经11周,阴道少量流血10天,三天前阴道流血增多,下腹阵痛,伴有胎盘组织排出,昨起发热,今体温38.5℃,血压10/8kPa,心率122次/分,神萎。阴道检查;外阴有多量流血,宫口开,容一指,子宫口处可触及胎盘组织,子宫6+周大小,有压痛(++),附件稍增厚,压痛(+),腹软,无肌紧张及反跳痛,血红蛋白70g/L,白细胞16×109/L,中性0.90 治疗上在抗感染抗休克的同时最恰当处理为()
A. 立即刮宫
B. 三天刮宫
C. 立即钳出残留胎盘组织
D. 催产素静脉滴注
E. 刮宫加催产素注射
A3型题初孕妇,24岁,以妊娠33周,头痛6日就诊。查体:血压180/120mmHg,脉搏96次/分,宫高28cm,臀先露,胎心150次/分,全身水肿(++++) 不受累的器官是()
A. 脑
B. 眼
C. 肺
D. 心
E. 肾
A3型题女,26岁,妊娠早期有早孕反应,尿HCG阳性,于妊娠17周时感胎动。B超示单胎,头位,见心脏搏动。现为妊娠26周,近2周来自觉胎动停止,腹部不再增大,来门诊就诊。宫底平脐,未闻及胎心,B超复查未见胎心搏动和胎动。 临床诊断是()
A. 过期流产
B. 习惯性流产
C. 完全流产
D. 死产
E. 葡萄胎