题目内容

男性,22岁,既往有HBsAg阳性史。10天前无诱因发烧,体温逐步上升,波动于37.5~39℃,近3天体温持续在38.5~39.5℃不降,伴有食欲减退、乏力、腹胀及尿黄。查体:T 39.5℃,P 88 次/分,BP110/70 mmHg,意识清楚,表情淡漠,未见皮疹,巩膜轻度黄染,心肺未见异常,腹软,右下腹压痛(),肝右肋下2 cm,脾未触及,肝浊音区不小,移动性浊音阴性,双下肢无浮肿。化验:WBC 3.5×109/L,N 60%,L 40%,血HBsAg(),抗HAV-IgG()。
该患者最可能的诊断是

A. 病毒性肝炎,乙型,慢性轻度
B. 病毒性肝炎,甲型,急性黄疸型,乙肝表面抗原携带者
C. 伤寒,病毒性肝炎,乙型,急性黄疸型
D. 伤寒,病毒性肝炎,甲型,亚急性重型
E. 伤寒,乙肝表面抗原携带者

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男性,40岁,半年来剧烈活动时诱发胸骨后疼痛,休息数分钟可自行缓解,近3天来发作频繁,且于上楼或步行时均可诱发,夜间也有发作。BP 17.3/10.6 kPa(130/80 mmHg),P 60次/分,该患者的最佳治疗方案是

A. 硝酸甘油静脉点滴+肝素静脉点滴
B. 消心痛+倍他乐克+阿司匹林口服
C. 消心痛+硝苯地平口服
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治疗措施不妥的是哪项

A. 预防心脑合并症
B. 利尿
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D. 控制血压
E. 休息

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