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【单选题】
男，45岁。因坏疽性阑尾炎行阑尾切除术2。3天来下腹胀痛剧烈，拒按，大便5～6次/日，水样泻为主，下午感畏寒，体温高达38.8℃，今日开始嗜睡、意识模糊，深呼吸、急促，肺（-），下腹胀，压痛、反跳痛（±），肠鸣音存在，未及包块，直肠指诊：直肠前壁水肿、触痛、有波动感，血压80/55mmHg，白细胞18×10 9 /L，血钾3.7mmol/L。 该患者的主要诊断是（）。A.
盆腔脓肿伴休克
B.
毒血症
C.
麻痹性肠梗阻
D.
机械性肠梗阻
E.
低血容量性休克
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