10. 一位慢性 C 型肝炎併有肝硬化的患者因意識不清而入院。身體診察發現腹部脹大且有 shifting dullness，右胸下半呼吸音聽不見，兩側下肢有 pitting edema。抽血檢驗結果如下：Ammonia N (NH3) = 130 (＜ 37)umol/L，Albumin = 2.4 (＞ 3.5) g/dL，AST = 50 ( ＜ 31)U/L，ALT = 35 (＜41) U/L，Bil(T) = 1.5 (＜ 1.0) mg/dL，Bil[D] = 0.8 (＜0.18) mg/dL，Na = 125 (＞ 135) mmol/L，Cr = 1.6 (＜1.3) mg/dL (本病人過去≦ 1.2 mg/dL)，BUN= 40 (＜ 25) mg/dL，PT = 13.0" (INR = 1.25)。抽取腹水送結果如下：Alb = 1.0 g/dL，WBC = 900 /ul，neutrophil佔 70%。下列處置，何者是合宜的？ (1). intravenouscefotaxime (2). 3% saline solution (3). albumin infusion(4). lactulose (5). anticholinergic agent
(A) (1)+(3)+(4)
(B) (1)+(4)+(5)
(C) (2)+(3)+(4)
(D) (3)+(4)+(5)
(E) (2)+(4)+(5)