患者，男，41岁。因全身乏 力、厌汕腻、恶心、尿色逐 渐加深2周人院。既往无病毒 性肝炎病史，无家族史。生 化报告：ALT 180U/L, AST 90U/L, TBil 89fxmol/L, 抗-HAV阴性，抗-HEV阴 性，抗 _HBe (+)，抗-HBc (+)。根据病史及生化报告应 首先考虑

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