患儿女，2个月，因“皮肤黄染45d”来诊。尿黄，粪浅淡、油腻。生后混合喂养。查体：皮肤和巩膜中至重度黄染；腹胀，肝肋下3.5cm，脾肋下2cm。肝功能：TBil188μmol/L，DBil138μmol/L，ALT190U/L，AST186U/L，TP64g/L，Alb44g/L；PT13s，PTA98%。
应考虑的进一步检查、治疗措施有（提示检查结果不支持胆管发育异常和胆汁酸排泌障碍；尿CMV分离（＋）。）（）
A.听觉脑干诱发电位（ABR）检查
B.SPECT（核素扫描）检查，以进一步排除胆管闭锁
C.若ABR检查示感音神经性耳聋，可行更昔洛韦治疗
D.若常规退黄治疗无明显效果，可行更昔洛韦治疗
E.若常规退黄治疗无明显效果，可加大茵栀黄注射液用量
F.若常规退黄治疗无明显效果，可用糖皮质激素7~10d
参考答案：A, C, D
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| All over the world people swim for fun. Swimming is enjoyed by people of __1__ ages, from the very young to the very old. There are many places for people to swim in swimming pools. Many schools, hotels and clubs have swimming pools. Some people have pools of _2 _in their yards. Swimming is one of __3__ forms of exercise. It can __4___ hearts and bodies strong. It can also help blood circulate(循环). Handicapped people can keep their bodies in better condition by swimming __5_ _ they can't enjoy sports. __6__ is a good idea for parents to see to it(务必做到) that their children learn to swim ___7__ an early age. So their children will ___8___ it for the rest of their lives. There are many rules for water safety. These rules can help save not only your life ___9___ the life of a friend. First of all, know __10__ . Many schools __11 __ swimming lessons to children. Adults(成人) can learn to swim at public pools. __ 12 __ rule to remember is never to swim __13__ . Always swim with a friend and know __14__ in the water at all times. It is best to swim __15__ in safe places if you are beginners. If every one learned to swim and obeyed the rules for water safety, most drawing(溺水) could be avoided. | ||||
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