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1、第十五章妊娠滋养细胞疾病病人的护理【学习目标】通过本章内容的学习，学生应能够：1．正确陈述葡萄胎、妊娠滋养细胞肿瘤病人的临床表现。2.描述并解释下列概念：葡萄胎、妊娠滋养细卿中瘤、妊娠滋养细胞疾病。3.正确说明妊娠滋养细胞疾病病人的健康指导内容及随访计划。4.应用所学知识为妊娠滋养细胞疾病病人制订护理措施。5．应用所学知识为化学药物治疗出现不良反应的病人制订相应护理措施。【练习题】一、名词解释1．葡萄胎2．妊娠滋养细胞肿瘤3．妊娠滋养细胞疾病二、选择题（一）A1型题1．侵蚀性葡萄胎与绒毛膜癌的主要鉴别点是（)A．继发良性葡萄胎后的时间B．症状轻重C.体内HCG浓度高低D．
2、有无黄素囊肿E．病理切片有无绒毛结构2．侵蚀性葡萄胎和绒毛膜癌最常见的转移病灶是（)A．脑B．肾C．肺·D．肝E．阴道3．化疗前需要准确测量病人体重的理由是（)A．精确计算输入量B．精确计算药物剂量C．精确计算病人饮食需要量D．精确计算补液量E．确定化疗的疗效地形平坦开阔，地层由第四系全新冲积层，第四系上更新统冲层组成，局部表覆第四系全新统人工堆积层。第四系全新统冲积层厚度约25～50m，岩性主要为黏土、粉质黏土、粉土、粉砂、细砂；第四系上更新统冲积层厚度大于50m，岩性主要为黏性土、粉土、粉细砂等。管桩深度范围内地层主要为：粉土、黏土、粉质黏土，局部表层为杂填土。cou
3、plingCentreshallbechecked,thesecondpouredconcretestrengthofmorethan70%.Intheprocessofreamingorboring,apartfromthespecialprovisionsinfactory,doesnotallowanyworkthatmayaffectthecouplingCentre,suchasirrigation,tocylinderconnectionstofloodthecondenserpipesandsoon.Wellboring,hingeboltholeflang
4、ewithcouplingofvertical,notoblique.Mountingboltsshouldbeaddedlubricants,typinggentlywithasmallhammer,nottoolooseortootight,packedtheboltswiththecorrespondingsealscrewholeshouldbemarked.6.4.5.4.2couplingreamedandpairingsisclosetothediameterofboltbearinggoodhingeholes,dressedwithagoodtwocou
5、plingboltsbeforeyoucanmovetherotor,boring-reamingholeinturn.Couplingboltsmustbetightcouplingissymmetricaldiameter,inboring,reaming,twoboltsout.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Duetothecouplingboltsinaccordancewithhingeholescorrespondingtothediameterofthescre
6、wholesonebyoneafterprocessing,processingbackboltinstallationlocationcannotbechanged,soaccordingtoboltaftertheactualweightdifferenceofnutandlockwashertomatch.Generalrequirementsforcouplingtwosymmetricaldiameterbolt,nutandlockwasher'stotalweightdifferenceshouldnotbegreaterthan10gandknocksst
7、ampedmark.(SeeFigure18)Thecouplingboltsapplylubricant,andthengentlywithcopperhome,nottoolooseortootight.BoltAssemblyisfinished,symmetricaltighteningallboltsto30%,50%,70%,100%force,andcheckthecouplingflutterandbeforeconnectingthecirclegraduallychangesitsvalueshouldbe
