男性，35岁，发热，胸部持续性钝痛二天，胸痛于仰卧时加剧，用硝酸甘油无效，心音减低，伴舒张期附加音，BP110/80mmHg，下肢水肿，静脉压180mmH2O，ECG：ST段抬高，弓背向下，未见Q波。
下列哪项体征不支持大量心包积液（）
A.颈静脉怒张
B.奇脉
C.Ewart征
D.收缩压降低，而舒张压变化不大
E.胸骨左缘3、4肋间闻及心包摩擦音
参考答案：E
| 完形填空。 | ||||
| Jim Green has been in China for more than two years. He has been to many interesting 1 in Beijing, but he has not yet been to many other parts of 2 . Last week he went to Mount Emei in Sichuan with his 3 . Many people like to travel by 4 , but the Greens think that travelling by train is the best. It is much 5 and far more enjoyable than a rushed journey by air. They had a won-derful train ride to Chengdu 6 they went on to Mount Emei by bus. The train was quite nice and tidy, and there weren't too many people in 7 sleeping car. The Greens could stand up and 8 around. It was a long journey, 9 none of them felt tired. They kept 10 the beautiful things out of the window. They talked, laughed and played cards. The conductor kept coming to give them hot water and 11 them newspapers. People nearby 12 with each other. A young man tried to speak English with Mr and Mrs Green. Jim thought the train was like a big moving party. He went to sleep quite 13 . He enjoyed listening to the sound of the running train and then fell asleep. When Jim woke up the next morning, the train was already 14 Chengdu. His train ride seemed really 15 , but his memory (记忆) of the pleasant journey will last long. | ||||
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