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【单选题】
患者男，40岁。反复中上腹痛5年，餐后1小时加重，下次进餐前缓解。近5天餐后饱胀感明湿，大便呈柏油状。最可能的诊断是A.
慢性胃炎并出血
B.
十二指肠球部溃疡并出血
C.
胃溃疡并出血
D.
溃疡并穿孔
E.
胃癌
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