男性，48岁，原有乙型肝炎，2周前出现肾病综合征表现就诊。体检

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问题单项选择题 A3/A4型题

男性，48岁，原有乙型肝炎，2周前出现肾病综合征表现就诊。体检：血压22/13kPa（165/98mmHg），肝脾未及，腹水（+）。化验：尿液检查蛋白（++++），红细胞10～15个/HP，白细胞0～2个/HP，24小时尿蛋白4.0g，非选择性蛋白尿，补体及肾功能正常。未发现恶性肿瘤证据。

若行肾穿刺活检最可能呈现的病理特点是（）

A.系膜增生伴大量IgA沉积

B.足突肿胀、变性、融合

C.广泛新月体形成

D.上皮下免疫复合物沉积，基膜钉突样改变

E.上皮下驼峰状电子致密物沉积

答案

参考答案：D

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