(4—6题共用题干)

    女，52岁，间断额面和下肢浮肿十年，再发伴胸闷一个月。平素怕冷，毛发稀疏。之前未曾诊治。查体：T36．3℃，BP90／60mmHg，心尖搏动位于心浊音界内2厘米，HR60次／分，律齐，双下肢轻度浮肿。化验：血WBC 3．8×10⁹/L，N56％，Hb92g/L，PLT 99×10⁹/L，肝肾功能正常，血脂增高(TG6．96mmol／L，TC 7．01mmol／L)，cTnⅠ阴性。EC属示窦性心率60次／分，低电压。心脏彩超示心包积液。

患者心包积液但末出现代偿性心动过速及其他临床特点，推测其可能的病因是

A．非特异性心包炎

B．结核性心包炎

C．肿瘤性心包积液

D．甲状腺功能减退症

E．尿毒症性心包炎

When I saw the notice "Women film extras wanted" in a local newspaper, I jumped at the chance. Since childhood, I had dreamt of being a film star. The casting interview went well, and two clays later I was told that I had been chosen. I was to lose some of my enthusiasm for the idea, however extras are often left in the dark for some time as to which role they will play. Finally , the nature of my role was revealed: I was asked to play a mental hospital patient. Despite my disappointment, I agreed to participate. Then, barely a week later, the day of filming dawned. An 13 of us extras, mainly housewives, were driven to an old hospital. The coffee and tea they served us looked and tasted like cement. Then we were rushed off to make-up. My hair was pinned back and make-up was applied that gave me a pale appearance. Then we just sat in a minibus for a few hours, as the cameras rolled elsewhere.
After the second hour had passed I was becoming bored. I bet stars are never treated like this, I thought. I had expected to be so busy that I hadn’t come prepared for a long wait. Many of the others had brought a book or knitting.
Three hours had now passed. Then at last we were called to do our scenes. When the director came in, we were instructed where to stand and what to do. Along with a few others, I was told to sit at a table and weave baskets. This was not an easy task. The cane (藤条)we had to use was very long. On several occasions my basket fell apart in front of my very eyes. On others I only succeeded in hitting a cameraman in the eye.
Life for the other extras was far from easy. Jean, who was barefoot, had to circle the floor. Poor Alice was asked to pretend to bang her head against the wall. Meanwhile, Veronica swept the floor.
Thankfully, after just a few attempts, the scenes were done. And so my first taste of this" glorious" career was over. Although I found the experience quite interesting. My first screen role will almost certainly be my last.