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【单选题】
女性，27岁，产后第4天，出现寒战、高热、腰痛，尿白细胞30个／HP，尿蛋白（+），并尿痛，下腹痛，肾区叩击痛，耻骨上压痛（+），血象WBC18×10 ／L首先应考虑产后并发哪种疾病A.
产褥热
B.
败血症
C.
上呼吸道感染
D.
急性肾盂肾炎
E.
急性膀胱炎
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