患儿，女，5月，主因"呼吸急促一周"入院。诉近日患儿烦躁不安，呼吸急促，无发热，精神反应欠佳，喂养困难伴呛咳，吃奶后大汗淋漓。查体：呼吸规则，45次／分，双肺呼吸音粗，未闻及湿性啰音。胸前区隆起，心间搏动有抬举感。心音有力，律齐，胸骨左缘3、4肋间可闻及Ⅱ-Ⅲ/6收缩期杂音。可及细小震颤，第二心音明显亢进。腹部及神经系统未见异常。
该患儿最可能的诊断为（）
A.房间隔缺损
B.室间隔缺损
C.动脉导管未闭
D.法洛四联症
E.肺动脉闭锁
参考答案：B
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| There are about fifteen hundred languages in the world. But only a few of them are very __1__.English is one of these.Many,many people use it,not only in England and the USA,but in other parts of the world.About 200,000,000 speak it as their own language.It is difficult to say how many people are learning it as a __2__language. Many millions are trying to do so. Is it easy or difficult to learn English? Different people may have different __3__.Have you ever __4__ ads of this kind in the newspapers or magazines? "Learn English in six month,or your __5__back..." "Easy and funny? Our records and tapes __6__ you master your English in a month.From the first day your __7__will be excellent.Just send..." Of course,it never __8__quite like this. The only language that seems easy to learn is the mother tongue.We should remember that we all learned our own language well when we were __9__.If we could learn English in the same way,it would not seem so difficult.__10__ what a small child does.He listens to what people say.He tries what he hears.When he is using the language,talking in it,and __11__ in it all the time,just imagine how much __12__ that gets! So it is hard to say that learning English is easy,because a good command of English __13__ upon a lot of practice.And practice needs great effort and __14__ much time.Good teachers, records,tapes,books,and dictionaries will __15__.But they cannot do the student's work for him. | |||
| ( )1．A.difficult ( )2．A.native ( )3．A.questions ( )4．A.found ( )5．A.knowledge ( )6．A.make ( )7．A.spelling ( )8．A.happened ( )9．A.students ( )10．A.Imagine ( )11．A.using ( )12．A.time ( )13．A.depends ( )14．A.uses 15．A.do | B．important B ．foreign B ．problems B ．watched B ．time B ．help B ．grammar B ．know B ．children B ．Mind B ．thinking B ．money B ．tries B ．takes B ．work | C．necessary C．useful C．ideas C．noticed C．money C．let C．English C．seemed C．babies C．Do C．trying C．language C．has C．gets C．help | D．easy D．mother D．answers D．known D．English D．allow D．pronunciation D．felt D．grown-ups D．Think of D．practicing D．practice D．takes D．costs D．master |