But as John became more and more successful, _____ enjoying his wealth, he began feeling troubled by his

luxurious life. [ ]

A. ahead of

B. apart from

C. in place of

D. instead of

患者男性，16岁，以呼吸困难和乏力就诊。体征有颈静脉怒张，肝肿大，腹水，下肢浮肿。听诊无杂音。超声示双房明显扩大，心包增厚，回声增强，有钙化点，下腔静脉增宽，最可能的诊断（）

A.冠心病心衰

B.缩窄性心包炎

C.扩张型心肌病

D.限制型心肌病

E.肥厚型心肌病