男，45岁，持续高热，右季肋部胀痛，已3周体温37～39℃，近一周体重减轻5kg，昨下午起突然出现刺激性咳嗽，咳出巧克力痰200ml／d，体检：无黄疸，右下胸隆起，局部压痛明显，右下肺呼吸音低，伴湿啰音，肝肋下4cm，压痛明显，脾未及，胸片示右膈抬高，右侧胸腔有积液少许；过去史：有慢性腹泻史3年

最可能诊断为（）

A.脓胸穿破肺形成支气管胸膜瘘

B.细菌性肝脓肿穿破胸腔及肺

C.阿米巴肝脓肿穿破胸腔及肺

D.肝癌胸腔转移

E.肝包虫向肺穿破

The most important technological event of our time is the rise of the computer. Computers already (36) many aspects of our lives, from transportation and telecommunications to entertainment. (37) ignorant of these trends, many schools now have computers and networking capacity. To some extent, these (38) accessories have been absorbed into the life of the school, though often they simply deliver the old lessons in a more convenient and efficient format. In the future, however, education will be (39) largely around the computer. Computers will (40) a degree of individual instruction that in the past was (41) only to the rich. All students may receive a curriculum (42) to their needs, learning style, pace, and record of success with earlier materials and lessons. Computer technology puts all the (43) in the world at one’s fingers, quite literally. This is both a blessing and a curse. (44) -- now, delivery of information is instantaneous. Soon we will not even have to type in an instruction; (45) . Thus people will achieve instant "cultural literacy." Less happily, the Internet has no means of quality control; "anyone can play." Information and disinformation mingle comfortably and, as of yet, there are no reliable ways to distinguish sense from the distorted facts and downright nonsense common on the Net. (46) .