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【单选题】
患者男，28岁，突发性上腹部剧痛4 h，伴恶心、呕吐，既往偶有反酸、胃灼热病史，出蛔虫。查体：全腹压痛、反跳痛及肌紧张，肝浊音界缩小，肠鸣音消失，血淀粉酶轻度升高。该患者拟诊为（）A.
胆管蛔虫症伴胆管感染
B.
急性阑尾炎穿孔伴弥漫性腹膜炎
C.
急性绞窄性肠梗阻
D.
急性消化性溃疡穿孔伴弥漫性腹膜炎
E.
急性出血性胰腺炎
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B.
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