问题
单项选择题
患者，男性，咳嗽，痰中带血丝2个月，发热10天，胸片显示右肺上叶片状阴影，呈肺炎样征象。患者1个月后出现右面部无汗，瞳孔缩小，上睑下垂及眼球内陷。复查胸片显示右胸顶部致密块影，诊断最可能是（）。
A.转移性肺癌
B.中央型肺癌
C.粟粒性肺结核
D.纵膈淋巴肉瘤
E.Pancoast肿瘤
答案
参考答案：E
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患者，男性，咳嗽，痰中带血丝2个月，发热10天，胸片显示右肺上叶片状阴影，呈肺炎样征象。患者1个月后出现右面部无汗，瞳孔缩小，上睑下垂及眼球内陷。复查胸片显示右胸顶部致密块影，诊断最可能是（）。
A.转移性肺癌
B.中央型肺癌
C.粟粒性肺结核
D.纵膈淋巴肉瘤
E.Pancoast肿瘤
参考答案：E
Life is important. You should always have fun and new experiences, because you never know what day will be your last. You hold grudges (怨恨). You never know what could next. I learned all this at the age of 9. It was the before fifth grade. My best friend Neesah and I were playing. We got into an argument and had a . My older cousin, Tiffany, broke up our fight. I remember Neesah storming out of my grandmother’s house saying, “I hope we never speak again!” I replied, “Good, I don’t need you as a friend!” I went into the house and tried to calm myself. Then I people screaming and shouting. My cousin rushed in. She said that Neesah had been hit by a street sweeper (清洁车) as she crossed the road. The driver didn’t see her. I felt . I wished it had been instead. It could have been avoided if we hadn’t had that argument! When the ambulance (救护车) arrived a few minutes later, they said she was . I was a real mess. I had to see a psychologist (心理医生) for the rest of the summer. I miss Neesah so much and I her always. She taught me how precious life is and that you should never hold a grudge you never know when you’ll see that person again.
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