Julie was good at German, French and Russian, all of ____ she spoke fluently.

A．who

B．whom

C．which

D．that

女，24岁。车祸伤后出现呼吸困难、发绀，检查发现胸壁有一约1.2cm伤口，随呼吸伤口处发出嘶嘶声响，首先考虑（）

A.闭合性气胸

B.损伤性血气胸

C.张力性气胸

D.开放性气胸

E.反常呼吸