波动性黄疸伴肝及胆囊肿大,无疼痛感者,B超示肝内外胆管扩张,最可能的诊断为(?)A.肝癌B.黄疸性肝炎C.壶腹周围肿瘤D.胆道蛔虫病E.胆...

作者: rantiku 人气: - 评论: 0
问题 波动性黄疸伴肝及胆囊肿大,无疼痛感者,B超示肝内外胆管扩张,最可能的诊断为(?)
选项 A.肝癌 B.黄疸性肝炎 C.壶腹周围肿瘤 D.胆道蛔虫病 E.胆总管囊肿
答案 C
解析 :壶腹周围肿瘤当发生部分坏死脱落时,胆道梗阻可稍缓解,致黄疸呈波动性,而胆道蛔虫病多有右上腹的绞痛。
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