患者男性,53岁。发热、寒战伴右上腹钝痛2天。既往有糖尿病史。查体:T39.4℃,肝区叩击痛,右上腹肌紧张及触痛。X线胸腹部检查示:肝影增大伴局限性隆起,...

作者: rantiku 人气: - 评论: 0
问题 患者男性,53岁。发热、寒战伴右上腹钝痛2天。既往有糖尿病史。查体:T39.4℃,肝区叩击痛,右上腹肌紧张及触痛。X线胸腹部检查示:肝影增大伴局限性隆起,右膈肌上抬。{图}F-FDG?PET示肝右叶放射性分布局灶性异常浓聚,SUVave4.7,SU-Vmax7.3。 注射显像剂前,需要注射胰岛素的血糖水平是
选项 A.5.7mmol/L B.7.6mmol/L C.9.8mmol/L D.13.2mmol/L E.选项B、C、D均是
答案 D 
解析 :该患者急性起病,发热伴右上腹痛,增高、寒战,右下胸及肝区叩击痛,右上腹肌紧张及触痛,X线示肝影大gif">F-FDG??PET示肝右叶代谢局灶性异常增高,故诊断应考虑细菌性肝脓肿,答案C正确

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