问题
单项选择题 案例分析题
男性,35岁,劳力性呼吸困难,心悸,气短,少尿,下肢浮肿1年余,1周前咽痛、咳嗽、咳黄痰后呼吸困难加重,夜间不能平卧。超声心动图示,左右心室扩张,弥漫性运动不良,左心室射血分数30%。既往无任何特殊病史。
根据上述临床表现与辅助检查资料首先考虑()
A.肺部感染
B.慢性心力衰竭
C.急性左心衰竭
D.心包炎
E.急性右心衰竭
答案
参考答案:B
男性,35岁,劳力性呼吸困难,心悸,气短,少尿,下肢浮肿1年余,1周前咽痛、咳嗽、咳黄痰后呼吸困难加重,夜间不能平卧。超声心动图示,左右心室扩张,弥漫性运动不良,左心室射血分数30%。既往无任何特殊病史。
根据上述临床表现与辅助检查资料首先考虑()
A.肺部感染
B.慢性心力衰竭
C.急性左心衰竭
D.心包炎
E.急性右心衰竭
参考答案:B
Years ago, if a teenager had some problems in his life, he might go home and write in his diary; now, a teenager with the 36 problems might go onto the Internet and write about them in a blog(博客). In many ways, a diary and a blog are very 37 , but what makes blogging different from writing in a(n) 38 diary? The biggest difference is that a blog is much more 39 than a diary. Usually, a teenager treats his diary like a book full of 40 that he does not want to 41 with others. It’s interesting that someone who writes in a blog 42 a diary will probably write nearly the same information. I have a little sister, and sometimes I go online to read her 43 . She writes about things like waking up early for swimming practice and not studying enough for her chemistry test. 44 I was her age, I wrote about the same thing, but 45 in my diary. Then, after I had finished writing, I would hide my diary in a secret place because I was 46 that my sister might read it. The biggest 47 with blogging is that anyone can read what you write. If I was angry with a friend during high school and wrote something 48 about him in my diary, he would never know. 49 , if my sister ever wrote something bad about a friend, that friend might 50 her blog and get angry. There are also 51 to blogging, of course. If I was feeling sad one day and wrote in my diary “ Nobody cares about me …”, no one would 52 about it. However, if my sister wrote the same sentence in her blog, her best friend would quickly 53 and tell her how much they 54 her. Blog helps people 55 in contact with their friends and know what the people around them are doing.
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