问题
单项选择题
男，42岁。腹胀乏力，伴食欲不振3年。体检：巩膜轻度黄染，胸前可见2个蜘蛛痣，腹软，肝肋下未扪及，脾肋下5cm，腹水征阳性。最可能的诊断是
A．继发性腹膜炎
B．肝硬化
C．腹膜转移癌
D．胆管结石
E．原发性肝癌
答案
参考答案：B
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男，42岁。腹胀乏力，伴食欲不振3年。体检：巩膜轻度黄染，胸前可见2个蜘蛛痣，腹软，肝肋下未扪及，脾肋下5cm，腹水征阳性。最可能的诊断是
A．继发性腹膜炎
B．肝硬化
C．腹膜转移癌
D．胆管结石
E．原发性肝癌
参考答案：B
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| I can't remember when I started collecting litter. But it was when I got tired of 1 litter nearby that I realized no one else was going to pick it up. I live near a forest in Ohio, America. I can walk there 2 three minutes. I used to love going there to play with my dog. But one day there was 3 much litter there that I became very unhappy. I decided to clean up the forest, and I wanted to 4 happy when I went again. I made my first trip to clean the forest that afternoon. I took a big black rubbish bag with me. Ten minutes 5 I started to pick up litter, my bag was full! There were cans, bottles, broken glass and newspapers in it. From then on, I 6 to the forest four times a year to pick up litter. I often stay there for three hours. It makes me feel 7 to do something for the environment. After each trip, I look through all the litter that I've collected. If 8 of it is recyclable (可回收利用的), I'll keep it. I can't understand why people drop litter. But I will keep on picking it up 9 they stop dropping it. I know I am only doing a small bit 10 the earth, but I still think it is important. | ||||
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