試題詳解

8. 一位病患因意識不清而住院，檢驗結果發現血中ammonia數值明顯升高，Alb=3.6g/dL(≧3.5),Bil( T )/( D )=1.1/0.4mg/dL,GOT=35(＜37),GPT=31(＜41), prothrombin time(PT)=12.5"(11.5")。這位病患可能有下列病況，除了
(A) Hepatic artery - Portal vein diffuse shunting 造成portal trunk之血流逆流
(B) 嚴重肝門脈高壓併有側枝循環
(C) Hepatic artery - hepatic vein shunting
(D) Large Hepatic vein - portal vein shunting
(E) Enzymopathy of Kreb's cycle (Krebs-Henseleit urea cycle)