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。检查发现母亲血型为O型，Rh阳性，患儿为A型，Rh阳性，此时应立即进行的检查是(    )

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• 1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。检査发现患儿Hb 100g/L，血清胆红素386μmol/L，此时哪项检查最重要(    )

  A.血培养

  B.母婴血型鉴定

  C.肝功能

  D.肝炎标志物检查

  E.TORCH 检查

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• 2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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• 3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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• 4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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• 5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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• 6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。若患儿的血清特异性抗体检测中发现抗体释放试验为阳性，在治疗中不合适的是(    )

  A.蓝光照射

  B.白蛋白治疗

  C.碳酸氢钠治疗

  D.抗生素治疗

  E.必要时换血

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• 7案例：患儿，男，生后2天出现皮肤黄染，饮食可，无吐泻。查体:T 36.6℃，P 135次/分，R 40 次/分，反应好，皮肤中度黄疸，心肺无异常，腹平软，肠鸣音正常。根据患者的临床表现，此时该进行的初步检查是(    )

  A.血常规

  B.经皮测胆红素

  C.血气分析

  D.尿常规

  E.血培养

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