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【简答题】
患者女，42岁。双下肢水肿3个月来诊，追问患者近两年乏力、关节疼痛。查体：无皮疹，心肺无异常，双下肢重度凹陷性水肿。实验室检查血白蛋白22g/L，尿蛋白(+++)，血常规正常，转氨酶正常，肾功能正常，补体低，ANA1：3200(+)，抗dsDNA强阳性。该患者的病情是A、肾病综合征 B、系统性红斑狼疮，狼疮肾炎 C、心功能不全 D、肝病水肿 E、血管炎性病变 该患如做肾脏病理，最可能的病理分型是A、系膜轻微病变性狼疮肾炎(Ⅰ型) B、系膜增殖性狼疮肾炎（Ⅱ型） C、局灶增生性狼疮肾炎（Ⅲ型） D、弥漫增生性狼疮肾炎（Ⅳ型） E、膜性狼疮肾炎（Ⅴ型） 对该患者最适宜的治疗是A、中小剂量激素治疗 B、补充白蛋白治疗 C、大剂量激素+环磷酰胺治疗 D、抗病毒治疗 E、丙种球蛋白治疗 除上述治疗外下列治疗措施正确的是A、不限制地补充白蛋白以提高血白蛋白 B、加强免疫抑制剂治疗，争取短期内使尿蛋白下降至正常 C、利尿治疗以减轻水肿 D、治疗预防血栓形成 E、为预防继发感染，应该常规抗生素治疗
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