A 4 -year old domestic short haired cat presents for anorexia and weight loss of 1 week. Physical exam reveals a body condition score of 7/9, jaundice of the skin and sclera, and dehydration of 4%. Temperature is normal. Bloodwork shows: ALT=303 (25-97 U/L) GGT=1.8 (0-6 U/L) ALP=1170 (0-45 U/L) bilirubin=3.0 (0-0.1 mg/dl) Radiographs show an enlarged liver. What is the most important treatment for the cat's likely diagnosis?
一只4岁的家养短毛猫由于厌食症和体重减轻1周前来就诊。体格检查显示其体况评分为7/9,皮肤和巩膜黄疸,脱水为4%。体温正常。血液学检查显示:ALT=303(25-97U/L)GGT=1.8(0-6U/L)ALP=1170(0-45U/L)胆红素=3.0(0-0.1mg/dl)X光片显示肝脏增大。根据该猫最有可能的诊断 最重要的治疗方法是什么?
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A - Oral clavulanic acid and amoxicillin for 4 weeks 口服4周的阿莫西林克拉维酸钾
B - Oral S-adenosylmethionine for at least 1 month 口服至少1个月的S-腺苷甲硫氨酸
C - Esophagostomy tube feeding 放置食道饲管喂食
D - Parenteral vitamin K injections 非经肠维生素K注射