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【简答题】
患者女性,58岁。右乳腺癌术后3年,口服三苯氧胺治疗中。无肝炎史,血糖正常。 复查超声应重点检查下列哪几项A.肝脏 B.双侧腋下 C.双侧锁骨上窝 D.胰腺 E.子宫及双附件 超声所见:肝回声呈密集细小点状,增强,无明显衰减,肝肾回声有反差,肝静脉显示清晰,可能的诊断是A.轻度脂肪肝 B.急性肝炎 C.慢性肝炎 D.化疗后肝损害 E.糖尿病性肝病变 右乳腺癌术后5年复查肝脏超声,肝脏饱满增大,肝内回声细、增强,后方肝组织衰减明显,肝肾回声反差大,肝静脉显示不清,胆囊旁可见两个回声区,此时可能的诊断是A.轻度脂肪肝 B.不均匀脂肪肝 C.肝转移癌 D.重度脂肪肝 E.糖尿病性肝病变 非均匀脂肪肝残存的正常肝组织与肝转移癌的超声鉴别依据是A.前者为形态规则的低回声区 B.前者为无占位效应的片状低回声 C.前者内有正常走行的血管 D.前者对周围结构无挤压 E.后者有靶环状、牛眼状结构 患脂肪肝的可能原因是A.肝炎后高糖、高蛋白饮食 B.肥胖 C.营养过剩 D.饮酒过度 E.糖尿病
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