患者男，70岁。以"反复咳嗽、咳痰20年，活动后气短5年，加重1周"为主诉入院，每年冬季发作，多为白色黏痰，每年持续约3个月，近1周来感冒后再次出现咳嗽、咳痰，痰色黄，痰量较前增多，伴有低热和活动后呼吸困难。吸烟史600支/年。查体：两肺呼吸音粗，两肺可闻及散在干、湿啰音。

在治疗过程中出现神志恍惚、嗜睡，血气分析结果为：pH7.36，PaO45mmHg，PaCO92mmHg，HCO48mmol/L，BE+17mmol/L。目前诊断应包括（）

A.慢性支气管炎并肺气肿

B.Ⅱ型呼吸衰竭

C.慢性肺心病急性加重期

D.慢性肺心病合并心衰

E.慢性支气管炎并脑血管病

F.肺性脑病

G.呼吸性酸中毒并代谢性碱中毒

I used to find notes left in the collection basket of the church, beautiful notes about my homilies(讲道)and about the writer’s thoughts on the daily readings. The (1) fascinated me. But it was a long time (2) I met the author of the notes.

One Sunday morning, I was (3) that someone was waiting for me in the office, a young woman who said she (4) all the notes. When I saw her I was (5) , since I had no idea thatit was she who wrote the notes. She was sitting in a chair in the office. Her (6) was bowed and when she raised it to look at me, she could barely (7) without pain. Her face was disfigured(畸形), so smiling was very (8) for her. We (9) for a while that Sunday morning and agreed to meet for lunch later that week. As it (10) , we went to lunch several times, and we shared things about our (11) . We spoke of authors we both had (12) , and it was easy to tell that (13) are a great love of hers. She suffered from a disfigurement that cannot be made to look (14) . I know that her condition (15) her deeply. Yet there was a beauty to her that had nothing to do with (16) . She was one to be listened to, whose words came from a wounded but (17) heart. She possessed a fine tuned sense of beauty. Her only (18) in life was the loss of a friend. The truth of her life was a desire to see beyond the (19) for a glimpse of what it is that matters. She found beauty and (20) and they befriended her, and showed her what is real.

17().

A．cheerful

B．interesting

C．loving

D．exciting