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【单选题】
,男,40岁。患有“胃溃疡”,于饱餐后突然出现上腹剧烈疼痛,腹肌紧张,有压痛反跳痛。肝消失, 首先应判断为A.
并发急性穿孔
B.
并发慢性穿孔
C.
并发幽门梗阻
D.
急性胆囊炎
E.
溃疡癌变
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