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患者男，43岁，主因间断转氨酶升高5年，腹泻5d，呕血、柏油样便2d，烦躁不安1d急诊入院。入院查体：T38.2℃，P96次/min，R18次/min，Bp12/8kPa（90/60mmHg），肝病面容，贫血貌，烦躁不安，胡言乱语，皮肤、巩膜，两肺未啰音，全腹部轻压痛和反跳痛，肝浊音界存在，腹部移动性浊音阳性，双下肢轻度压陷性水肿，生理反射存在，巴宾斯基征（±）。 此时诊断考虑（）（提示：实验室检查：血WBC5.6×10 9 ／L，N0.85，Hb59g/L，PLT7×10 9 ／L，血淀粉酶200U/L（Somogyi法），血HBsAg阳性，血总胆红素48μmol/L，血直接胆红素30μmol/L，血ALT82U/L，血ALB25g/L，血氨100mmol/L，AFP120μg/L；腹腔积液黄，微浑，细胞总数1.2×10 9 ／L，白细胞数0.7×10 9 ／L，Rivalta试验阳性，蛋白30g/L，比重1.019。）
A.
肝性脑病
B.
乙型病毒性肝炎肝硬化
C.
上消化道出血
D.
失血性休克
E.
消化性溃疡
F.
原发性肝癌
G.
机械性肠梗阻
H.
自发性腹膜炎
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