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患者男，57岁，反复腹胀，双下肢水肿3年，加重3d入院。10年前因风湿性心脏病、二尖瓣狭窄行二尖瓣换瓣术（机械瓣），术后7年无明显不适。原发性高血压史8年，未规律服药。有长期吸烟史。查体：Bp150/94mmHg，颈静脉怒张，双肺呼吸音粗，无啰音。心界扩大，心率110次/min，心律绝对不齐，二尖瓣区可闻及金属音，P2略亢进，胸骨左下缘可闻及4/6级全收缩期杂音，吸气时增强，余瓣膜区未闻及杂音。肝肿大，双下肢静脉曲张，双踝部水肿。

患者目前的诊断应考虑（）

A.肺血栓栓塞

B.慢性肺源性心脏病

C.二尖瓣换瓣术后，三尖瓣关闭不全，右心衰竭

D.高血压性心脏病

E.心律失常性心肌病

答案

参考答案：C, D

单项选择题

Anthropology is the study of human beings as creatures of society. It (1) its attention upon those. physical characteristics and industrial techniques, those conventions and values, which (2) one community from all others that belong to a different tradition.

The distinguishing mark of anthropology among the social sciences is that it includes for serious study other societies (3) our own. For its purposes any social (4) of mating and reproduction is as significant as our own. To the anthropologist our customs and those of a New Guinea tribe are two possible social schemes for (5) a common problem, and in so far as he remains an anthropologist he is (6) to avoid any weighting of one (7) the other. He is interested in human behavior, not as it is shaped by one tradition, our own, but as it has been shaped by any tradition (8) He is interested in a wide (9) of custom that is found in various cultures, and his object is to understand the way in which these cultures change and (10) , the different forms through which they express themselves and the (11) in which the customs of any peoples function in the lives of the (12) .

Now custom has not been commonly regarded as a (13) of any great moment. The inner workings of our own brains we feel to be uniquely (14) of investigation, but custom, we have a way of thinking, is behavior at its most commonplace. (15) , it is the other way round. Traditional custom is a mass of detailed behavior more astonishing than (16) any one person can ever evolve in individual actions. Yet that is a rather (17) aspect of the matter. The fact (18) first rate importance is the predominant role that custom (19) in experience and belief, and the very great varieties it may (20)

6（）

A.acknowledged

B.authorized

C.bound

D.credited
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影响过热汽温的因素有哪些？
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