患者男，68岁。主诉：反复咳嗽咳痰20多年，劳力性气促5年，加重2d。患者在20年前无特殊诱因逐渐出现咳嗽咳痰，多数为白黏痰，开始症状不严重，没有特殊诊治。咳嗽咳痰症状持续，每年的大多数时间有咳嗽、咳痰。近5年开始出现上楼梯或快速走路时气促，休息后缓解。间歇出现症状加重，多于气候改变或感冒后发生，表现为咳嗽、咳痰和气促加重。近2d无特殊诱因出现气促明显加重，伴有左前胸闷痛，无发热，咳嗽、咳痰无增加。有吸烟史40多年，平均每天1包烟。有高血压病史5年，不规则用药治疗。体温36.5℃，脉搏100次/min，呼吸28次/min，血压160/92mmHg。唇舌无发绀，气管居中，呼吸稍费力，桶状胸，呼吸动度减弱，语颤减弱，叩诊过清音，肺泡呼吸音明显减弱，无干湿啰音。心率：100次/min，律整，心音稍低钝，无杂音。
该患者的气胸类型为（）
A.开放性气胸
B.自发性气胸
C.张力性气胸
D.原发性气胸
E.继发性气胸
F.特发性气胸
参考答案：B, D
This story happened after the First World War. A French soldier named Frank returned to his hometown after the war.___41___he had been disabled in the war, he could hardly do anything. So before long he became very___42___. Every year the former___43___ in the town would hold a party.Once the party was held in Bill’s house.Since he had become a rich man,he___44___the other soldiers with a lot of good wine and tasty food. At the party,Bill was so glad that he took out a big gold ___45___he had collected to___46___them. The coin was passed around.They talked and laughed.___47___,most of them got drunk and the gold coin was soon___48___. When Bill remembered the gold coin,he found it was___49___.Everybody helped to___50___the coin in the room,but they___51___.At that time,someone___52___that everyone in the room be searched.Everyone else___53___except Frank.”I’m not a___54___,why should I be searched?” Then he went out of Bill’s house.Since then people believed that it was Frank___55___had stolen the gold coin.Frank was looked down upon from then on.All the people in the town___56___from him. Several years later,when Bill repaired his house,he___57___to find the gold coin in a crack of the floor.He hurried to Frank’s house to tell him about it and he___58___to Frank.Then he asked Frank,”But why didn’t you___59___to be searched at the time?”Hearing this Frank’s face turned red.”Because… my ___60___was full of bread and chicken that I had taken from your table and would carry home for my hungry wife and children.”
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