男,20岁,1周来发热、食欲减退、厌油、恶心、呕吐、尿黄,黄疸急剧加深,凝血酶原活动度35%,近2天出现嗜睡,烦躁不安伴牙龈出血,皮下瘀斑,肝脾未扪及。如血清学标志物检测发现HBV感染标志,且HBV-DNA阳性除其他治疗外可进行抗病毒治疗,首选的抗病毒药物是() ["A.干扰素","B.拉米夫定","C.病毒唑","D.阿昔洛韦","E.泼尼松"]
男,20岁,1周来发热、食欲减退、厌油、恶心、呕吐、尿黄,黄疸急剧加深,凝血酶原活动度35%,近2天出现嗜睡,烦躁不安伴牙龈出血,皮下瘀斑,肝脾未扪及。如在治疗过程中烦躁不安加重,意识障碍加深应立即给予的治疗是() ["A.肌注鲁米那","B.静注安定","C.用止血药","D.静注甘露醇","E.使用血管扩张剂"]
男,20岁,1周来发热、食欲减退、厌油、恶心、呕吐、尿黄,黄疸急剧加深,凝血酶原活动度35%,近2天出现嗜睡,烦躁不安伴牙龈出血,皮下瘀斑,肝脾未扪及。该患者的诊断可能性最大的是() ["A.急性肝炎","B.中毒性肝炎","C.急性重型肝炎","D.淤胆型肝炎","E.慢性重型肝炎"]
男,30岁,乏力、纳差10余天,查体:无明显黄疸,肝右肋下1cm,脾未扪及,肝功能检查:血清ALT120u/L,2个月前因溃疡病出血,输血1000ml,术后恢复顺利。进行肝炎病毒血清学检查,抗-HCV阴性,HBV-M阴性。抗-HCV阴性最可能的解释是() ["A.上述诊断有误","B.抗-HCV出现早,消失快","C.抗-HCV出现迟,目前尚未出现","D.先天性免疫球蛋白缺乏","E.可排除丙型肝炎"]
男,30岁,乏力、纳差10余天,查体:无明显黄疸,肝右肋下1cm,脾未扪及,肝功能检查:血清ALT120u/L,2个月前因溃疡病出血,输血1000ml,术后恢复顺利。该病例首先考虑() ["A.甲型病毒性肝炎","B.乙型病毒性肝炎","C.丙型病毒性肝炎","D.丁型病毒性肝炎","E.戊型病毒性肝炎"]
纵隔淋巴结转移()Castleman病()淋巴瘤()淋巴结核()