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患者，男性，40岁。体检发现HBsA9阳性七年余，近2周来感乏力、食欲不振，近l周出现皮肤发黄。查体：精神委靡，皮肤、巩膜深度黄染，腹部膨隆，肝脾未扪及，腹水征阳性。
实验室检查：HBsAg（+），AlL380U／L，白309／L，球蛋白359／L，总胆红素455rtmol／L，凝血酶原活动度30％。最可能的临床诊断是

A.急性重型肝炎
B.亚急性重型肝炎
C.慢性重型肝炎
D.淤胆型肝炎
E.急性黄疸型肝炎


【参考答案】

C,C
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