[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fStn8lcc7t_vI6Vuuq3LPdImojGrGC4nATVJmSTeZZfc":3},{"answer":4,"createTime":5,"id":6,"options":7,"origin":13,"question":20,"related":21,"source":33,"type":34},[],"2025-05-28 08:17:07",191433377,[8,9,10,11,12],"肝功能障碍所致的神经精神综合征","肝功能障碍所致的精神错乱","肝功能障碍所致昏迷","肝脏疾病并发脑部疾病","肝功能障碍所致的脑水肿",{"count":14,"courseId":15,"courseImg":16,"courseName":17,"workId":18,"workName":19},20,"9bb10cb0cc8059478377afd3180d29d2","https:\u002F\u002Ftihai-oss-cloud.itihey.com\u002Fimg\u002Fc5103df8b66c5a7d05542b5ecab541f8.jpg","病理生理学","work_43411715","肝功能不全 课前自测(预防)","肝性脑病是指",[22,35,46,56,66,77,87,98,108,111],{"answer":23,"createTime":24,"id":25,"options":26,"question":32,"source":33,"type":34},[],"2025-05-28 08:17:03",191433205,[27,28,29,30,31],"促进鸟氨酸循环","促进肾脏排氨","使肠道内pH值下降,减少氨的吸收","增强能量代谢","促进三羧酸循环","乳果糖治疗肝性脑病的理论依据是","v1",0,{"answer":36,"createTime":37,"id":38,"options":39,"question":45,"source":33,"type":34},[],"2025-05-28 08:17:04",191433220,[40,41,42,43,44],"前驱期","肝衰竭期","昏睡期","昏迷前期","昏迷期","患者,男,55岁,黑便1月,讲胡话、脾气暴躁1周就诊,5年前诊断为&quot;肝硬化&quot;.查体:P 108次\u002F分,BP 95\u002F70 mmHg,肝病面容,明显扑翼样震颤,腹部隆起,腹壁静脉曲张,脾肋下4 cm,肝脏未触及,腹水征阳性,肌张力增高,查血氨明显升高,诊断为肝性脑病.该患者的肝性脑病目前处于哪一期",{"answer":47,"createTime":37,"id":48,"options":49,"question":55,"source":33,"type":34},[],191433225,[50,51,52,53,54],"HCO3-","K+","Na+","Cl-","Ca2+","&gamma;-氨基丁酸使下列哪一种离子向神经元内流而使其呈超极化状态",{"answer":57,"createTime":37,"id":58,"options":59,"question":65,"source":33,"type":34},[],191433248,[60,61,62,63,64],"肠道内细菌","氨基酸氧化酶","尿素的肠-肝循环","肠道内蛋白质","尿素合成酶","影响肠道产氨的因素不包括",{"answer":67,"createTime":68,"id":69,"options":70,"question":76,"source":33,"type":34},[],"2025-05-28 08:17:05",191433266,[71,72,73,74,75],"五期","一期","三期","二期","四期","肝性脑病患者具有轻微的神经精神症状和轻微的扑翼样震颤,提示该患者所处的临床分期为",{"answer":78,"createTime":68,"id":79,"options":80,"question":86,"source":33,"type":34},[],191433329,[81,82,83,84,85],"芳香氨基酸&uarr;、支链氨基酸&darr;","芳香氨基酸&uarr;、支链氨基酸&uarr;","芳香氨基酸&darr;、支链氨基酸&uarr;","芳香氨基酸&uarr;、支链氨基酸正常","芳香氨基酸正常、支链氨基酸&uarr;","肝性脑病时血浆氨基酸比例失衡表现为",{"answer":88,"createTime":89,"id":90,"options":91,"question":97,"source":33,"type":34},[],"2025-05-28 08:17:06",191433355,[92,93,94,95,96],"氨中毒学说是中心环节","有多个学说,且从不同角度解释了其发病机制","是因脑组织细胞的功能和代谢障碍所致","神经病理学变化是原发性变化","尚不完全清楚","患者,男,55岁,黑便1月,讲胡话、脾气暴躁1周就诊,5年前诊断为&quot;肝硬化&quot;.查体:P 108次\u002F分,BP 95\u002F70 mmHg,肝病面容,明显扑翼样震颤,腹部隆起,腹壁静脉曲张,脾肋下4 cm,肝脏未触及,腹水征阳性,肌张力增高,查血氨明显升高.关于该患者神经精神改变的发病机制,下列说法错误的是",{"answer":99,"createTime":89,"id":100,"options":101,"question":107,"source":33,"type":34},[],191433374,[102,103,104,105,106],"免疫性因素","生物性因素","物理性因素","遗传性因素","化学性因素","肝功能不全的常见病因不包括",{"answer":109,"createTime":5,"id":6,"options":110,"question":20,"source":33,"type":34},[],[8,9,10,11,12],{"answer":112,"createTime":5,"id":113,"options":114,"question":120,"source":33,"type":34},[],191433404,[115,116,117,118,119],"鸟氨酸循环障碍","肾脏产氨增加","肌肉产氨增加","肠道尿素增加","肠道产氨增加","患者,男,55岁,黑便1月,讲胡话、脾气暴躁1周就诊,5年前诊断为&quot;肝硬化&quot;.查体:P 108次\u002F分,BP 95\u002F70 mmHg,肝病面容,明显扑翼样震颤,腹部隆起,腹壁静脉曲张,脾肋下4 cm,肝脏未触及,腹水征阳性,肌张力增高,查血氨明显升高.该患者血氨增高的主要原因是"]