22岁男性，乏力、咳嗽、盗汗、低热2月余，近1周来有咯血及痰中带血。查体：心肺未闻异常，WBC 6.8×109/L，中性68％， ESR 36mm/h，X线胸片：右上肺片状阴影，边缘模糊。最可能的诊断是
A．肺脓肿
B．肺囊肿并感染
C．浸润型肺结核
D．支气管扩张并感染
E．肺炎球菌肺炎
参考答案：C
解析：根据患者乏力、咳嗽、盗汗、低热、咯血及痰中带血等典型的临床表现及X线表现：右上肺片状阴影，边缘模糊。可诊断为浸润型肺结核。
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| Long, long ago, after a young woman finished her housework, she went to her grandmother and told her about her life and how things were so hard for her. She didn't know how she was going to 1 it and wanted to give up. She was 2 fighting and struggling . It seemed as one 3 was solved, a new one would appear. Her grandmother took her to the 4 . She filled 3 pots with water and placed each on a high fire, and soon the pots came to 5 . In the first pot, she placed carrots, in the second, she placed 6 , and in the last she placed ground(被碾成粉末状的) coffee beans. She let them sit and boil. In about 20 minutes she turned off the 7 and placed them in a separate bowl. 8 to her grandmother, she asked, "Tell me what you see." "Carrots, eggs, and coffee." She 9 . Her grandmother brought her closer and asked her to feel the carrots. She did and noticed that they were 10 . The grandmother then asked the granddaughter to take an egg and 11 it. After pulling off the shell, she observed the hard boiled egg. 12 , the grandmother asked the granddaughter to 13 the coffee. The granddaughter smiled as she tasted its rich smell then asked, "What does it mean, grandmother?" Her grandmother 14 that each of these objects had faced the same adversity (逆境) , boiling water. Each responded 15 . The carrot went in strong and hard, however, after 16 the boiling water, it softened and became weak. The egg had been easily broken. Its thin outer shell had protected its liquid interior (内部) , 17 after sitting through the boiling water, its 18 became hardened. The ground coffee beans were unique, 19 . After they were in the boiling 20 , they had changed the water. "Which are you?" she asked her granddaughter. | ||||
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