题目内容

女性，35。9个月前因先天性胆总管囊肿切除、胆囊Roux-Y吻合术，术中曾输血400ml。2个月来易“感冒”。自服抗生素好转。近一周来发热、寒战。最高体温达39°C。查体：P123次/分，R22次/分，BP102/80mmHg，巩膜黄染，双肺呼吸音粗，上腹轻压痛。化验：WBC18x109/L，中性粒细胞89%，TBil121μmol/L，DBil86μmol/L，ALT203U/L。下列治疗措施中，最有效的是

A. 加大抗生素量
B. ERCP置管引流
C. 腹腔镜探查
D. PTCD

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