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患者张 XX ,男, 45 岁,近 5 天感右上腹部胀,食欲不佳,就医入院。 自述 2000 年 3 月体检时发现 HBsAg 阳性,肝功能正常,未治疗。 2001 年因疲倦 . 乏力 . 眼睛及皮肤 . 腹胀 . 胃纳差住院,诊断为 " 慢性乙型性肝炎急性发作 " ,经住院保肝治疗 32 天后,病程好转出院, 2003 年因肝功能异常,再次住院治疗。 2006 年 3 月出现疲倦,右上腹闷胀不适,伴食欲下降,住院。体格检查: T 37 °C , R 41 次 / 分, P 83 次 / 分,巩膜无。皮肤呈古铜色,无出血点,肝掌、胸前蜘蛛痣阳性,心肺未见异常,腹平软,无压痛及反跳痛,肝、脾肋下未及, Murphy 征( - )肝上界右锁骨中线第五肋间,肝 . 脾无扣痛,移动性浊音阳性,双下肢无浮肿,无扑震颤。实验室检查:生化: TP 64g/l , A/G 39/25 , BIL 36umol , ALT 138u/l , AST 61u/l ,其余正常。 PT/PA 11.5s/125.02%; EP:ALB 60.1%,r-G 14.15% 。 HBsAg ( + ),抗 HBs(-) , HBeAg ( - )。抗 HBe ( + ), HBc(+) ( 阳 ) ;甲、丙、戊型肝炎, TPHA 、 HIV 检测均阴性; HBV DNA 2.89×10 6 /ml 。临床诊断:病毒性肝炎 乙型 慢性 问题: 1. 乙肝两对半检测对乙型肝炎确诊的临床价值如 2. 应用哪些免疫学技术可 实施乙肝两对半检测,各自有哪些优缺点?
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【简答题】Age has its privileges in America. And one of the more prominent of them is the senior citizen discount. Anyone who has reached a certain age—in some cases as low as 55—is automatically entitled to a ...
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【简答题】快速以太网的速率是( )。
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【简答题】快速以太网的速率是( )Mbps。
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【简答题】_______ EarthWatch works with many companies to promote good practice._______ Businesses need to change the way they operate in order to help and reduce their effect on the environment. _______ ...
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