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患者，男，57岁。3月来腹胀、水肿，1加重伴腹痛。20年前体检时发现HBsAg(+)。查体：可见肝掌及蜘蛛痣。蛙状腹，肝未及，脾肋下4cm，全腹压痛，无明显反跳痛，移动性浊音阳性。化验：血清蛋白24g/L，球蛋白31g/L，血钾3.8mmol/L，血钠136mmol/L，血氯98mmol/L。该患者最可能的并发症是A、电解质紊乱 B、肠梗阻 C、自发性腹膜炎 D、代谢性酸中毒 E、肝肾综合征 该患者最可能的基本诊断是A、原发性肝癌 B、乙肝肝硬化 C、慢性乙型肝炎 D、原发性肾病综合征 E、结核性腹膜炎 该患者最必要的检查是A、腹水常规+细菌培养 B、尿常规及尿钠检测 C、腹部B超检查 D、腹部CT超检查 E、胃镜检查
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