问题 单项选择题 案例分析题

患者女性,26岁。因"停经33周,恶心呕吐纳差七天"入院。G0P0,否认肝炎病史。入院检查:体温正常,血压118/80mmHg,脉搏81次/分,意识清楚,皮肤巩膜中度黄染,心肺未见异常。腹膨隆,左上腹轻压痛,肝脾未触及,肝区无叩痛,莫菲氏征阴性。宫高25cm,腹围90cm,胎心140次/分。B超:胆囊回声异常,胆囊息肉。双顶径8.6cm,股骨长5.4cm,羊水指数15.7cm。实验室检查:白细胞11.2×109/L,血小板168×109/L,血红蛋白139g/L,尿胆原(-),尿胆红素(-),丙氨酸转氨酶(ALT)157IU/L,天冬氨酸转氨酶(AST)190IU/L,总胆红素127.57μmol/L,直接胆红素106μmol/L,总蛋白65g/L,白蛋白28.34g/L,尿素氮7.20mmol/L,肌酐132μmol/L。凝血象:部分凝血活酶时间(APTT)47.0s,凝血酶原时间(TT)20.1s,纤维蛋白原(FIB)2.36g/L。入院后予以保肝、促胎肺成熟、营养等对症治疗,肝功能损害进行性加重,于第6天因上消化道出血及胎儿窘迫在全麻下行子宫下段剖宫产术。

要对此病人的诊断作出进一步明确,需要做的实验有()

A.肝脏CT

B.肝脏穿刺术活组织病理检查

C.肝功能检测

D.肾功能检测

E.凝血功能检测

F.血沉检测

答案

参考答案:B

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阅读理解
Dear Lena,
     My name is Wu Dong. I'm a Chinese boy. I live in Beijing now. I am a student in Grade Seven at a
middle school. I want a pen friend in England. I think England is an interesting place. I'm 14 years old. I
am tall and have blue eyes and fair hair. I like sports, especially playing football. I often play volleyball
with my friends after school. I think it's great fun. I also like playing computer games and playing the
piano, but I don't like watching TV. My favourite festival is Spring festival. My family get together at
our house on that day. We often get some presents from my parents.
     This month I got a bike because I got good marks(分数) in exams(考试) but I never ride it to school.
     Do you like to be my pen friend?
     Please write to me soon.
                                                                                                                       Yours truly,
                                                                                                                        Bob Black
Things about the writerHis name is Wu Dong. He (1)                     from China.
Needs (需求) of hisHe needs a pen (2)                    . Now, he is writing a (3)                     to Lena from England.
Appearance (外貌)He (4)                     blue eyes and fair (5)                    .
Activities (活动)(6)                     is his favourite activity and he enjoys playing volleyball with his friends (7)                     school. Spring festival is his favourite (8)                    . He is (9)                     to get the present from his (10)                    .
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