患者男性，60岁，发热、咳嗽2个月，咯血1周，伴乏力、关节痛，体重下降10kg。既往咽鼓管炎8年，所力有所下降，经常发作眼结膜炎。查体：BP140／90mmHg，双肺呼吸音粗，肺底可闻及湿啰音。辅助检查示贫血，血沉快，血清c－ANCA（＋），PR（＋＋＋），抗GBM抗体（－）。
最可能的诊断为（）。
A.韦格纳肉芽肿
B.变应性肉芽肿性血管炎
C.显微镜下多动脉炎
D.原发性冷球蛋白血症性血管炎
E.皮肤白细胞碎裂性血管炎
参考答案：A
完形填空。 |
| Mrs. Brown has a small 1 in front of her house. In spring she plants some 2 in it." She looks 3 them very carefully. When summer comes, they look very nice. One evening Mrs. Brown looked at her vegetables and said "Tomorrow I am going to pick 4 , and then we can eat them." But early the next morning, her son 5 into the kitchen and shouted, "Mother, Mother! Come quickly! Our neighbor's ducks 6 in the garden. They are eating our vegetables!" Mrs. Brown ran 7 but it was too 8 ! All the vegetables were eaten up! Mrs. Brown cried and her neighbor was very 9 , but that was the end of the vegetables. Then a few days before Christmas, the neighbor brought Mrs. Brown a parcel (包裹). There was a beautiful fat duck in it, and it was a piece of paper 10 the words "Enjoy your vegetables!" |
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