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产科部分(81～89题、90题略)问81:a.从孕28周开始反复出血,内诊时有软性抵抗,可疑为前置胎盘.如是足月妊娠可行剖腹产,但现妊娠32周可能性受到限制.因此至孕足同或确定胎儿已成熟之前,最好是维持疗法.由于严重贫血,应当输血.出血是由于宫缩时合并有胎盘与子宫肌层剥离所致,所以使病人安静并通过给予β-模拟剂以抑制宫缩.母体出血合并胎儿窒息的早期发现NST是主要的;由于前置胎盘诱发出血,禁忌催产素激惹试验(OCT).考虑可能会早产,为促进胎儿肺成熟,也可给倍他米松.
Obstetrics (81-89 questions, 90 questions) Q 81: a. Repeated bleeding from 28 weeks pregnant, soft-shelled when there is suspicion of placenta previa .If the full-term pregnancy feasible caesarean section, but now pregnancy 32 The possibility of the week is limited, so pregnancy or with the fetus has matured, it is best to maintain therapy due to severe anemia, blood transfusion should be due to contractions of the placenta and the myometrium due to stripping, so Patients were quiescent and contractions were stopped by administration of beta-mimics.NST was found predominantly in early detection of maternal hemorrhage with fetal asphyxia; oxytocin challenge test (OCT) was contraindicated due to bleeding induced by placenta previa. Considering possible premature delivery, Promote fetal lung maturity, but also give betamethasone.