患者，男，40岁。发热1周， 伴乏力、食欲减退、恶心。尿 黄，黄疸迅速加重，3天来神 志恍惚。化验：ALT 180IU/L, TBil 200(JLmol/L,胆固醇 3. 5 mmol/L0为确诊最重要的 检查是

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