问题
单项选择题 案例分析题
男,60岁,2个月来干咳,呼吸困难进行性加重。体检:杵状指,肺底部Velcro啰音。胸片示双肺弥漫分布的网结状阴影,HRCT示双下肺沿胸膜分布的蜂窝状阴影。BALF示中性粒细胞比例增高。
提问:本患者最可能的诊断为()
A.寻常性间质性肺炎
B.脱屑性间质性肺炎
C.过敏性肺泡炎
D.结节病
E.隐源性机化性肺炎
F.肺泡蛋白质沉积症
答案
参考答案:A
男,60岁,2个月来干咳,呼吸困难进行性加重。体检:杵状指,肺底部Velcro啰音。胸片示双肺弥漫分布的网结状阴影,HRCT示双下肺沿胸膜分布的蜂窝状阴影。BALF示中性粒细胞比例增高。
提问:本患者最可能的诊断为()
A.寻常性间质性肺炎
B.脱屑性间质性肺炎
C.过敏性肺泡炎
D.结节病
E.隐源性机化性肺炎
F.肺泡蛋白质沉积症
参考答案:A
German Prime Minister Otto Von Bismarck may be most famous for his and diplomatic talent, but his contributions to the society include many of today’s social insurance programs. During the middle of the 19th century, Germany, other European nations, an unusual outbreak of workplace deaths and accidents as a result of growing . in part by Christian sympathy for the helpless as well as a practical political impulse to get the of the socialist labor movement, Bismarck the world’s first worker’s compensation law in 1884. By 1908, the United States was the industrial nation in the world that lacked workers’ compensation insurance. American’s injured workers could seek in a court of law, but they still faced a number of tough legal barriers. , employees had to prove that their injuries directly employer’s lack of care and they themselves were ignorant about potential danger in the workplace. The first state workers’ compensation law in this country passed in 1911, and the program soon throughout the nation. After World War II, benefit payments to American workers did not the cost of living. In fact, real benefit levels were lower in the 1970s than they were in the 1940s, and in most states the maximum benefit was below the poverty level for a family of four. In 1970, President Richard Nixon set up a national to study the problems workers’ compensation. Two years later, the committee issued 19 key recommendations, one that called for increasing compensation benefit levels to 100 percent of the states’ average weekly wages.
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