试题与答案

男,39岁,右上腹隐痛1个月。检查:黄疸,肝肋下3cm,质硬,结节感,有轻压痛;转氨

题型:单项选择题

题目:

男,39岁,右上腹隐痛1个月。检查:黄疸,肝肋下3cm,质硬,结节感,有轻压痛;转氨酶正常,AFP>200ng/mL。

若确诊该病人为原发性肝癌,AFP的测定应该达到的标准是

A.AFP>200μg/L,持续2周

B.AFP>200μg/L,持续4周

C.AFP>200μg/L,持续6周

D.AFP>200/μg/L,持续8周

答案:

参考答案:D

解析:[考点] 原发性肝癌的诊断
患者症状、体征和AFP(甲胎蛋白)的一次测定结果,提示患者可能患有原发性肝癌,要确诊,一次AFP检测结果还显不足,要连续测定,如果持续检查8周,每次结果都超过200μg/L,才可以确诊原发性肝癌,或AFP>500μg/L,持续4周。

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