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【单选题】
女性，43岁，腹痛16小时，呈持续性，阵发性加重，伴呕吐，无肛门排气。查体：全腹肌紧张，有压痛及反跳痛。行腹腔穿刺抽出液体呈血性，伴臭味。最可能的诊断是（）A.
绞窄性肠梗阻
B.
胃十二指肠穿孔
C.
急性阑尾炎穿孔
D.
结核性腹膜炎
E.
急性重症胰腺炎
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B.
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C.
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