患者，男，26岁。心悸、气促1年。查体：两颊暗红，颈静脉明显怒张，下肢浮肿，心浊音界向左扩大，心尖区可闻及舒张期隆隆样杂音，肝右肋下4cm，质软，有压痛，肝颈静脉回流征阳性。应首先考虑的是
A．二尖瓣狭窄并发右心衰竭
B．二尖瓣关闭不全后期所致右心衰竭
C．主动脉瓣狭窄并发左心衰竭
D．主动脉瓣关闭不全并发左心衰竭
E．肺源性心脏病致右心衰竭
参考答案：A
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| There are many kinds of friends. Some are always 1 you, but don't understand you. Some say only a few words to you, but understand you. Many people will step in your life, but only 2 friends leave footprints (脚印). I shall always recall (回忆) the autumn and the girl with the 3 . She will always bring back the friendship between us. I know she will always be my best friend. It was the golden season. I could see the yellow leaves 4 on the cool 5 . In such a season, I liked walking alone in the leaves, 6 to the sound of them. Autumn is a 7 season and life is uninteresting. The free days always get me 8 . But one day, the sound of a violin 9 into my ears like a stream (小溪) flowing in the mountains. I was so surprised that I jumped to see what it was. A young girl, standing in the wind, was 10 in playing her violin. I had 11 seen her before. The music was so nice that I listened quietly. Lost in the music, I didn't know that I had been 12 there for so long but my existence (存在) did not seem to disturb her. Leaves were still falling. Every day she played the violin in the corner of the building 13 I went downstairs to watch her performance. I was the only listener. The autumn seemed no longer lonely and life became 14 . 15 we didn't know each other, I thought we were already good friends. I believe she also loved me. Autumn was nearly over. One day, when I was listening carefully, the sound suddenly 16 . To my astonishment (惊讶), the girl came over to me. "You must like violin." she said. "Yes. And you play very well. Why did you stop?" I asked. Suddenly, a 17 expression appeared on her face and I could feel something unusual. "I came here to see my grandmother, but now I must leave. I once played very badly. It was your listening every day that 18 me." she said. "In fact, it was your playing 19 gave me a meaningful autumn," I answered, "Let's be friends." The girl smiled, and so did I. I never heard her play again in my life. I no longer went downstairs to listen like before. Only thick leaves were left behind. But I will always remember the fine figure (身影) of the girl. She is like a 20 -so short, so bright, like a shooting star giving off so much light that it makes the autumn beautiful. | ||||
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