婦產(chǎn)科學(xué)試卷期末(參考版)
2025-03-28 00:28本頁面
【正文】 (1分) 術(shù)后用抗生素預(yù)防感染并追回病檢結(jié)果?！ ?)E3型題 (共25分)51. (5分)子宮破裂(2分)進行血常規(guī)+血型檢查，B超檢查()在抗休克同時，急診開腹探查()52． (5分)雌、孕激素序貫試驗(2分) 下丘腦性閉經(jīng)() 垂體性閉經(jīng)()53． (15分) 診斷：(5) ?、儆覀?cè)輸卵管妊娠破裂(2分) ②失血性休克(2分) ?、凼а载氀?中度)(1分) (1)右側(cè)輸卵管妊娠破裂的診斷依據(jù)：(1分) ?、偕挲g婦女，有停經(jīng)、陰道流血、腹痛半肛門附脹、嘔吐、暈劂病史 ②外院查尿妊娠試驗陽性 ?、垠w征：滿腹壓痛、反跳痛，以右下腹為甚，移動性濁音陽性 ?、軏D查：宮頸著色、子宮稍大、質(zhì)軟、有漂浮感，右附件飽滿，觸痛明顯，似可捫及包塊，邊界不清，左附件區(qū)亦有壓痛 (2)失血性休克的診斷依據(jù)：(1分) ?、佥斅压苋焉锲屏褜?dǎo)致內(nèi)出血 ?、诔隼浜?，四肢無力 ⑧BP80／50mmHS，休克血壓，P108次／分，四肢冷 (3)失血性貧血的診斷依據(jù)：(1分) ?、佥斅压苋焉锲屏褜?dǎo)致內(nèi)出血 ②貧血貌 ?、郒b78g/l 陰道后穹窿穿刺抽出不凝血液可迅速明確診斷(2分) 處理意見；(5分) ?、倏剐菘恕⒓m正貧血：立即輸液補充血容量，保溫的同時抽血定血型、交叉合血，快輸血。43. The termination of pregnancy before 28 gestational weeks, or a fetal weight less than 1000 g. (2 point)44. The plete or partial separation of the normally implanted placenta before the delivery of the fetus after 20 gestational weeks or during delivery. (3 point)45. It means a female to be in the erect position , the plane of her pelvic inlet forms an angle about 600 With the horizontal plane. If the inclination of pelvis is more than this degree, it will obstruct the fetal head to engage. (3 point)E1型題（共20分）46.（4分） 1) To prevent ovulation. 2) To produce thick, scanty, cellular cervical mucus that impair sperm transport. 3) To produce are endoetrium that is unfavorable to blastocyst implantation 4) To diminish the activity of the fallopian tube . (各1分)47. (4分) 1) Uterine perforation 2) Artificial abortion syndrome 3) Inplete removal of the fetus and placenta 4) Hemorrhage 5) The implanted zygote being missed by the curet 6) Infection embolism 7) Cervical laceration (+)產(chǎn)后出血的預(yù)后隨失血量、失血速度及產(chǎn)婦體質(zhì)不同而異。(1分)42．胎兒娩出后24小時內(nèi)出血量超過500ml者稱產(chǎn)后出血。(2分)據(jù)全國協(xié)作組資料，80％在4454歲之間。選擇
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