某女性患者，今日突有头晕乏力、恶心，体检:体温38℃，巩膜黄染，肝肋下10cm，脾肋下未及，尿胆原阳性，血总胆红素51.3μmol/L，直接胆红素3.42μmol/L，既往有肝炎史，尿色较深，尿镜检未见红细胞，隐血试验阳性，考虑什么疾病

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