临床医学专业儿科新生儿与新生儿疾病习题8

试卷预览

• 81案例：一足月新生儿，单纯母乳喂养，生后二周发现面部有轻度的黄疸，一般情况良好，体重增长良好。最合适的处理是(    )

  A.光疗

  B.抗炎

  C.苯巴比妥口服

  D.停母乳3〜5天

  E.不需处理

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• 82案例：患儿母乳喂养，以面色黄染来就诊。9天新生儿，轻度黄染7天，母乳喂奶精神好，测血总胆红素为87.5μmol/L，结合胆红素4μmol/L，非结合胆红素83.5μmol/L，SGPT正常。此患儿最适宜的处理是(    )

  A.输血浆

  B.蓝光照射

  C.给予泼尼松口服

  D.给予苯巴比妥口服

  E.一周后复诊再定处理方案

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• 83案例：患儿母乳喂养，以面色黄染来就诊。9天新生儿，轻度黄染7天，母乳喂奶精神好，测血总胆红素为87.5μmol/L，结合胆红素4μmol/L，非结合胆红素83.5μmol/L，SGPT正常。该患儿2个月黄疸渐加重，且尿色加深，大便色淡，入院后复查血总胆红素68μmol/L，结合胆红素56μmol/L，SGPT 46U/L，此时最合适的处理是(    )

  A.给予保肝治疗

  B.外科手术探查

  C.停母乳后黄疸可退

  D.B超及胆道造影

  E.光照疗法治疗

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• 84案例：女婴，出生体重3200g，足月顺产。生后第7天黄疸加重。无热，进乳后有时呕吐，大便浅黄，尿色深黄，肝肋下3cm，3周后黄疸仅略有减轻。母亲病史中应注意的线索是(    )

  A.母亲的胎次与产次

  B.既往妊娠的流史或活儿的黄疸史

  C.孕期感染史

  D.妊娠晚期高血和水情况

  E.孕期营养情况

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• 85案例：女婴，出生体重3200g，足月顺产。生后第7天黄疸加重。无热，进乳后有时呕吐，大便浅黄，尿色深黄，肝肋下3cm，3周后黄疸仅略有减轻。对此患儿，临床诊断首先应考虑的是(    )

  A.母乳性黄疸

  B.新生儿溶血症

  C.生理性黄疸

  D.新生儿肝炎

  E.胆道闭锁

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• 86案例：女婴，出生体重3200g，足月顺产。生后第7天黄疸加重。无热，进乳后有时呕吐，大便浅黄，尿色深黄，肝肋下3cm，3周后黄疸仅略有减轻。首先考的实验室检查是(    )

  A.血常规、网织红细胞计数

  B.腹部B超

  C.血培养

  D.母、女血型鉴定

  E.血清转氨酶测定

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• 87案例：A 5 days old term infant is born to a G2P1mother. He is admitted because of jaundice for 2 days. He is fed by breast milk and formul

  A.The mothers ABO blood type is type O. Physical examination shows his overall condition is good wiWhat is the diagnosis( )A.physiological jaundice

  B.pathological jaundice

  C.kernicterus

  D.neonatal hepatitis

  E.breast-feeding jaundice

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• 88案例：A 5 days old term infant is born to a G2P1mother. He is admitted because of jaundice for 2 days. He is fed by breast milk and formul

  A.The mothers ABO blood type is type O. Physical examination shows his overall condition is good wiWhich lab test will be choosed to explore the cause of jaundice( )A.blood film

  B.hepatic function

  C.abdominal ultrasound

  D.hemolysis screening tests

  E.cranial MRI

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• 89案例：A 5 days old term infant is born to a G2P1mother. He is admitted because of jaundice for 2 days. He is fed by breast milk and formul

  A.The mothers ABO blood type is type O. Physical examination shows his overall condition is good wiHow to treat immediately( )A.phototherapy

  B.exchange transfusion

  C.transfusion of immunoglobulin gama

  D.transfusion of alkaline solution

  E.transfusion of albumin

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• 90案例：足月儿，G4P1，出生时一般情况好，无青紫窒息，纯母乳喂养，生后12小时即出现黄疸， 其母孕期体健，前三胎中，第1胎为人工流产，第2、3胎在生后均因黄疸死亡。该患儿黄疸的原因最可能为(    )

  A.生理性黄疸

  B.新生儿溶血病

  C.新生儿败血症

  D.新生儿肝炎

  E.以上都不是

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