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【单选题】
根据下列条件，回答 59～61 题： 男性，65岁，以往有劳力型心绞痛，长期服用硝酸甘油，病情尚稳定，近l个月来胸痛又发作，部位位于胸骨下段，且多发生在午睡时或晚间入睡后，服硝酸甘油无效，起床站立后可缓解。以往有胆石症史，但从无发作 第 59 题 近1个月胸痛发作原因应除外下列哪种可能性（ ）。
A.
不稳定型心绞痛
B.
恶化型劳累性心绞痛
C.
自发性心绞痛
D.
胆心综合征
E.
食管裂孔疝
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