患者男性，68岁。咳嗽、咳痰伴气喘20余年，近2月来因受风寒，咳嗽加剧，痰呈黄色，不易咳出，夜间烦躁不眠，白昼嗜睡。体检：T38.9℃，P116次/分，R32次/分，BP150／85mmHg，答话有时不切题，半卧位，发绀，皮肤温暖，球结膜轻度水肿，颈静脉怒张，桶状胸，呼吸浅而快，肺部叩诊呈过清音，两肺散在哮鸣音，心尖搏动不明显，心率116次/分，律齐，未闻杂音，肝脾未及，双下肢水肿，腹水征（-）。
根据患者的临床表现体征及检查，可能的临床诊断为（）。
A.慢性支气管炎
B.肺源性心脏病
C.肺性脑病
D.支气管肺炎
E.阻塞性肺气肿
F.呼吸衰竭
参考答案：A, B, C, D, E
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| A Love Note To My Mom When I was a little girl, I would often accompany you as you modeled for fashion photographers. It was years later that I finally understood what role modelling 1 in your life. Little did I know you were 2 every penny you earned to go to 3 school. I cannot thank you enough for 4 you told me one autumn afternoon when I was nine. After finishing my homework, I went into the dining room where you were buried 5 piles of law books. I was 6 .Why were you doing what I do-memorizing textbooks and studying for 7 ? When you said you were in law school, I was more puzzled. I didn't know. Moms could be lawyers too. You smiled and said, "In life, you can do anything you want to do." As young as I was, that statement kept 8 in my ears. I watched as you faced the 9 of completing your studies, starting companies with Dad, while still being a 10 and a Mom with five kids. I was exhausted just watching you in action. With your words of wisdom in my youthful mind, I suddenly felt unlimited freedom to dream. My whole world 11 . I set out to live my life filled with 12 , seeing endless possibilities for personal and professional achievements. Your words became my motto. I constantly found myself in the unique position of being either the first (woman doctor in Maryland Rotary) or one of the few women (chief medical reporters) in my field. I gained strength every time I said , "Yes, I'll try that." Encouraged by your 13 , I have forged ahead (毅然前行) with my life's journey, less afraid to make mistakes, and 14 meeting each challenge. You did it, and now I'm 15 it. So, get to run. So much to do, so many dreams to live. | ||||
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