皮皮学，免费搜题
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【单选题】
女，35岁。脾切除、小肠切除吻合术后第5天，已排气，头痛、恶心、腹胀，随后出现寒战、四肢发绀，T39.6℃，P108次／分，BP135／85mmHg，近24小时尿量650ml。轻度腹胀，腹软，全腹轻压痛，无反跳痛肌紧张。肠鸣音3次／分。最可能的原因为（）
A.
小肠吻合口漏
B.
手术后创面出血
C.
急性肾衰竭
D.
革兰阴性杆菌感染
E.
高位肠梗阻
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