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【单选题】
女性,9岁,有肾病史,1有上呼吸道感染史,经对症治疗后鼻梯症状有所好转,但有咳嗽,昨起体温升高到39 5°C,伴恶心.呕吐,腹痛呈持续性。体检:神志清,两肺呼吸音粗,金腹膨隆.压痛,伴轻度反跳痛及肌紧张,肠鸣音减弱,白细胞计数升高,中性粒细 胞0.90。考虑最可能的诊断为A.
肺炎
B.
肠道蛔虫症
C.
原发性腹膜炎
D.
肠系膜淋巴结炎
E.
急性机械性肠梗阻
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