问题 单项选择题 A1型题

患者女,60岁。因长期咳嗽伴脓痰于近日发生下肢水肿,查体:桶状胸、颈静脉怒张、肝大、肝颈静脉回流征(+),问所患何病()

A.慢性支气管炎

B.慢性阻塞性肺气肿

C.支气管扩张

D.慢性肺源性心脏病合并右心衰竭

E.肝炎

答案

参考答案:D

解析:患者长期咳嗽伴脓痰,查体见桶状胸,应考虑基础疾病为慢性阻塞性肺疾病,无明显诱因下出现下肢水肿,应为伴发慢性肺源性心脏病。结合患者颈静脉怒张、肝大、肝颈静脉回流征(+)的查体表现,右心衰竭的诊断明确。故选D。解题关键:肺源性心脏病是指由于肺组织、胸廓或肺动脉病变引起肺动脉高压,发生向心性肥大,最后发展为右心衰竭的心脏病。【考点】:肺心病的诊断

阅读理解

阅读理解。

     Liao Xiaoyi is a pioneer environmental protection (环保事业倡导者) in china. She is regarded as a

daughter of the earth. Why?

     Liao Xiaoyi is the founder of the Global Village of Beijing. This organization has been working to help

Chinese people know more about environmental issues (议题) since 1996.

    20 years ago, Liao Xiaoyi got interested in and began working on environmental issues."In China, there

is lots of water and air pollution. Many animals and plants are disappearing. But lots of people didn't ①care

about these problems," she said.

     After that, she began making TV programs, writing articles to let people ②__________ environmental

issues. The society appreciated (认可) Liao's hard work. In 2006, she was chosen as one of the year's eight

Green Chinese Figures (绿色中国年度人物). Last year she became an environmental adviser (顾问) for the

2008 Beijing Olympic Games.

     "I'm a daughter of the earth. ③I am just doing what I should do," Liao said.

     What should we learn from her?

1. 根据文章意思,完成下列句子:

     The Global Village of Beijing is an organization that can ______________.

2. 文中①画线的词组的意思是:______________.

3. 从文章中找出一个恰当的词组填在文章的②空白处,使句子完整。

    After that, she began making TV programs, writing articles to let people ______________

    environmental issues.

4. 将文中③画线的句子译成汉语。 ______________

5. Why is Liao Xiaoyi regarded as a daughter of the earth?

    _______________________________________________________________

多项选择题