Teachers' Day is a festival based more on the ________ aspect than the material level, and the

stress on gifts has caused it to lose its original meaning.[    ]

A. physical  

B. moral

C. cultural  

D. spiritual

男，41岁，持续高热3周伴腹胀，便秘4天，曾用氯霉素治疗无效。入院前自用番泻叶通便，当日10时许突然右下腹剧痛，心悸，头晕，脉细速，肝浊音界消失，X线腹界消失，X线腹部透视见膈下有游离气体，血白细胞19．0×10⁹／L，多核球85％，EOS计数为零，血清肥达反应："0"1：640（+），"H"1；640（+）。患者诊断为（）

A.斑疹伤寒

B.伤寒肠穿孔

C.胃穿孔

D.阑尾炎穿孔

E.腹膜炎