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【单选题】
某人原有慢性阻塞性肺疾病，呼吸困难、发绀，近日咳嗽加剧，突然发生右侧胸痛，约30分钟后呼吸困难突然加剧，患侧胸壁叩诊呈，听诊呼吸音消失。该变化是
A.
自发性气胸
B.
肋间神经痛
C.
膈下脓肿
D.
腹水
E.
肋骨骨折
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