患者，男，20岁。近2周自觉乏力，食欲不振，厌油，腹胀。检查：巩膜无黄染，肝肋缘下2cm，有压痛，丙氨酸转氨酶升高。应首先考虑的是

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SQL Error: select id,body,options from ***_enewstiku where sourceid='28760' and id < 2344678 and id<>'2344678' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='28760' and id > 2344678 and id<>'2344678' order by id asc limit 5