男性,70岁,慢性咳嗽、咳痰14年,多为白黏痰,每年发作3个月左右,近半年采出

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问题:


男性,70岁,慢性咳嗽、咳痰14年,多为白黏痰,每年发作3个月左右,近半年采出现上二、三层楼气短,为明确诊断而就诊。查外周血白细胞为 7.5×109/L,分叶72%,淋巴26%,嗜酸2%,尿常规正常。

胸部X线片最可能的表现是

A.双肺纹理增多、紊乱,伴双下肺片絮状阴影

B.双上肺纤维索条状阴影,伴左上肺厚壁空洞

C.肋间隙变窄,双肺透亮度降低,心脏扩大

D.肋骨走向变平,双肺透亮度增加,横膈降低,心影狭长

E.气管向右移位,左肺可见大片密度增高影

考点:护理正副高呼吸系统疾病病人的护理呼吸系统疾病病人的护理5
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He was struggling to tie his shoes. I was struggling with whether I should help him.
I did, and he was grateful.
"Thank you," he said.
"I’m glad I could help. I just thought it would be easier for me to reach," I said.
He was a disabled man, and forced to look down most of the time. His arms and legs were twisted terribly, and he couldn’t do what the rest of us would consider easy tasks. He always managed to Look up to see how you reacted to his words, however. He had a big smile, making me feel comfort- able.
I was still on my knees by his wheelchair.
"Nice shoes," he said.
"Thanks. No one ever complimented me on them before," I said.
"No one has the same view of the world as I do," he replied.
"Tell me about the world as you see it," I said smiling.
"Most people can see if someone is comfortable with them or not in their eyes. I see it in their feet," he said. "If people keep moving their feet, I just let them go, because I know they’re impatient with me. I don’t want to make people uncomfortable."
"What about me" I asked.
"I could see your compassion. And then you came down to my level. I was the one who was nervous," he said. "I don’t normally have someone look me in the eye. "
"They don’t know what they’re missing," I told him.
"My old face is nothing to brag about. " he said.
"But that smile is so big. "
Yes, and it’s not only a big smile but an attitude.

We can infer from the passage that ______.

A.the disabled man had something wrong with his mind

B.not many people went down to the man’s level

C.the man was good at telling people about the world

D.the writer would not give the man more help

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