试题与答案

患者女,57岁。1月以来发现皮肤、巩膜逐渐变黄,近1周更加明显。无腹痛、寒战、发热。

题型:单项选择题 共用题干题

题目:

患者女,57岁。1月以来发现皮肤、巩膜逐渐变黄,近1周更加明显。无腹痛、寒战、发热。既往无乙肝病史。查体:皮肤巩膜黄染、全腹软、无压痛。B超检查:胆囊萎缩,肝内胆管扩张,胆总管直径0.4cm。实验室检查:血清AFP25μg/L。

根据患者情况,首先要考虑的诊断是()

A.原发性肝细胞癌

B.胆管癌

C.胆总管结石

D.胰头癌

E.胆道蛔虫症

答案:

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