病历摘要：患者女性，56岁，反复咳嗽、气促伴发热3月余，加重伴左侧胸痛、胸闷10天入院。为干咳，伴乏力，无寒战，无咯血、喘鸣，食欲尚可。3个月前地医院拟诊左侧结核性胸膜炎经常规抽液抗痨+强的松治疗一个月好转出院，出院后一直用INH+RFP+PZA三联抗痨。体查：T38.5℃，右唇缘内侧可见一溃疡面，无分泌物附着。浅表淋巴结未触及。左下肺叩诊稍浊，右肺叩诊呈清音，双下肺呼吸音弱，左下肺尤甚，双肺未闻及干湿性啰音。心影稍向左右扩大，HR108bpm，律整，杂音（-）。肝脾未及，腹水征（-）。无杵状指。
提示：胸水抗核抗体：1：640，血清/胸水C3、C4均降低；胸水狼疮细胞（+）；血清抗Sm抗体（+）。支气管镜检查：气管支气管未见异常。该患者目前最可能的诊断是什么疾病？（）
A.结核性胸膜炎
B.系统性红斑狼疮并浆膜腔积液
C.类风湿性关节炎并胸膜炎
D.急性肾小球肾炎
E.类肺炎性胸腔积液
F.恶性胸腔积液
参考答案：B
A man was walking through a forest. He was holding an axe（斧子）in his hand. A little tree stopped him and said, “Please use your axe to those tall trees, my friend. Because of them, the sunlight cannot fall on me, and I have no room, at all to spread myself. them, I’ll be the pride of this part of the forest these years.”
The man decided to help the little tree. He used his to cut down the trees. Then the little tree had enough room. The little tree felt happy and said to the man. When the sun came out, the little tree lost water and it became very . Later when a storm came, the little tree all its leaves and branches（树枝）.
“Oh, poor little tree!”a bird said, ”You shouldn’t have asked the man to cut down the . The tall trees protected you you didn’t worry about heat or wind and rain. Time went by and you have . When you get all and , you can have enough strength to fight against the sun and the storms. So I don’t think you should do that.”
After hearing the words of the bird, the little tree felt regretful（后悔的）.
| 小题1: | A．put down B．cut down C．put off D．set off |
| 小题2: | A．With B．Without C．Because of D．As for |
| 小题3: | A．knife B．hand C．axe D．rope |
| 小题4: | A．sorry B．thanks C．no D．hello |
| 小题5: | A．thirsty B．hungry C．happy D．Sad |
| 小题6: | A．loved B．lost C．caught D．threw |
| 小题7: | A．grass B．plants C．trees D．forests |
| 小题8: | A．although B．while C．if D．so that |
| 小题9: | A．grown up B．got up C．used up D．stayed up |
| 小题10: | A．weak B．low C．short D．Strong |