患儿5岁半，男。从1岁至5岁反复喘息发作4次，肺功能明显降低，舒张试验阳性，确诊为支气管哮喘。2天前因感冒诱发咳嗽、喘息发作，使用口服和吸入糖皮质激素及支气管舒张剂仍无缓解。体检：呼吸困难，大汗淋漓和烦躁不安，不能平卧，面色青灰，三凹征明显，心音较低钝，双肺呼吸音降低，无哮鸣音。胸片示大小不等的片状阴影，部分融合成大病灶。
最可能的诊断是（哮喘持续状态合并）（）
A.腺病毒肺炎
B.葡萄球菌肺炎
C.肺炎支原体肺炎
D.肺炎链球菌肺炎
E.毛细支气管炎
参考答案：A
| 完形填空。 | ||||
| One Sunday, a picture in the newspaper touched me. A young woman stood in front of a totally destroyed home. A little boy stood beside her with his head 1 . Holding her skirt tightly was a tiny girl, eyes wide with 2 and fear. With growing 3 I noticed thatitheir sizes of each family member closely 4 ours. This would be a good opportunity to 5 my children, so I explained their difficult 6 to my seven-year-old twins, and to three-year- old Meghan. "We have so much, and these poor people now have nothing." I said. "We'll 7 what we have with them." I brought three large boxes and placed them on the living room floor. Meghan watched seriously, 8 the boys and I filled one box with canned food. While I 9 our clothes, I encouraged the boys to go through their toys and 10 some of their less favorite things. Meghan watched 11 as the boys piled up useless toys in the box. "I'll help you find something for the little girl." I said to her. The boys placed the toys they had 12 to donate into one of the boxes while I filled the third box with clothes. Meghan walked up with Lucy, her worn, faded, much-loved doll 13 tightly to her chest. She 14 in front of the box, pressed her little face into Lucy's face, gave her a 15 kiss, then laid her gently on top of the other toys. "Oh, honey," I said. "You 16 to give away Lucy. You love her so much." Meghan nodded, eyes shining with tears. "Lucy makes me happy, Mommy. 17 she'll make that little girl happy, too." I stared at Meghan for a long moment, 18 how I could teach the boys the lesson she had just taught me. It's easy to give what we don't want any more, but 19 to let go of things we cherish, isn't it? 20 , the true spirit of giving is to give with your heart. | ||||
|