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男，32岁，有肝脾肿大3年，发病前10天曾帮同事搬家后即感高度乏力、食欲不振、恶心、厌油、腹胀、巩膜深度黄染，肝右肋下未扪及，血清ALT60u/L，总胆红素324umol／L，凝血酶原活动度30％，一分钟胆红素188.6umol／L，该例患者的诊断应是（）
A . 慢性肝炎重度
B . 淤胆型肝炎
C . 急性重症肝炎
D . 亚急性重症肝炎
E . 慢性重症肝炎
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