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临床检验血液学选择题及答案
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临床检验血液学选择题及答案
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X 380.381. 382..383..384.,.385..386.,,.387..388.,389.,.390..391..392..393..394..395..396..397. {}1. D. 2.A 3.B 4.E 5.A 6.B 7.B 8.C 9.E 10.D l1.A 12. C 13.C14.C 15.A 16.E 17.D 18.D 19.E 20..c 21.C 22.C 23.E 24.A 25.E26.C 27.D 28.A 29.D 30.B 31.B 32.A 33.E 34.D 35.B 36.E 37.A38:A 39.A 40.C 41.E 42.D 43.D 44.D 45.A 46.C 47.C 48.D 49.B50.C 51.C 52.D 53.D 54.A 55.A 56. A 57. E 58 . A 59 . D 60. B 61. 0 62. D 63. D 64. D 65 . A 66. C 67. D 68. A 69. 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Copyright 2011, 版权所有 长沙医学院网络中心.　　主持人：如果在静脉放血，量会不会很多?
　　孙敬青：不会，人体自身的凝血机制可以止血，不会持续地出血，放血创口要小，而且想止血我们要直接去按压放血部位。有凝血机制障碍的人不能放血。
　　主持人：放血疗法普通人在家里可以操作吗?它的手法是什么样的?有哪些注意事项?
　　孙敬青：因为放血疗法毕竟涉及到消毒，消毒用品得具备，还有一次性的无菌针具，这些都是基本条件。还要掌握手法，我刚才提到的挑刺、散刺、点刺，这些都是基本手法。还有刺络，就是直接刺血管。要求操作者速度要快，手法要轻，取穴准确，千万不要刺伤动脉。这些都是需要注意的。
　　不太建议大家在家里放血，因为涉及到消毒、无菌针具等，注意事项很多。但是有些情况是可以的，如果以上这些条件都具备，病症也比较轻，小试一下也无妨。比如有的病人本身要测血糖，相当于刺血，其中有人刚好有手指麻木，这种手指麻木可以是多方面原因引起的，可能由颈椎病或者糖尿病周围神经病变等引起。这时候就在麻木的那个手指去测血糖，放血量比平时测血糖需要的量多，测血糖后再挤几滴血，减轻麻木，这样就能一举两得。
　　要掌握好放血量。原则是祛邪而不伤正，如果放太少了无济于事，太多了没必要，还可能造成风险。放血量不可一概而论，比如体质壮实的人可以多放一点，体质相对虚弱的人少放一点;敏感的地方如手指尖、耳尖这些末梢部位放得少一点，静脉和躯干的部位多一点，与病程的长短、病情的轻重也有关系。并且中医还要观察血色的变化，刚才提到中风言语不利在舌下静脉放血，有人放出来的血特别黑，如果多放几滴，血色会变淡，血色变了就要停止，&血变而止&。如果放出来的血色是正常的暗红色，不是那么黑黯，就可以少放一点。要根据病人的具体情况、放血部位等因素决定放血量。并不是鼓励大家都来学会放血这种治疗方法，我觉得最重要的是我们都知道有这种疗法，有需要的时候去医院寻求这种治疗就可以了。
　　主持人：在家要是自己操作的话风险比较大。
　　孙敬青：其实风险不大，但是以上这些事项是一定要注意的。
　　主持人：放血疗法相对拔罐、刮痧来说操作难度更大一些。
　　孙敬青：放血手法要点就是我说的那些，手法轻、速度快、选穴准。拔罐操作一般可以在比较大的皮肤范围上，不像放血时取穴这么精准。
　　主持人：最后提醒大家抱病后一定不要饮酒。多吃富含维生素、蛋白质的食品有助于疾病的痊可，如新鲜的蔬菜、生果及牛奶、鸡蛋等，祝大家早日康复。
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　　【文章转自：搜狐健康】
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