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【单选题】
病人，男性，38岁，脐阵发性剧痛伴恶心、呕吐4小时就诊，既往有胆石症病史。查体：急性痛苦貌，腹平软，脐右上腹部压痛，轻度反跳痛，肠鸣音12次／分，可闻及气过水声。对该病人首要的救护措施是
A.
迅速建立静脉通道，尽快补液
B.
禁食、胃肠减压
C.
给予抗生素
D.
严密观察病情
E.
镇痛治疗
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