女性，35岁。反复上腹痛2年，近1周出现夜间痛，进食可缓解，1小时前突发上腹部持续性剧烈疼痛，迅速转移至全腹。查体：肝浊音界消失。该患者的诊断是（）
A.十二指肠溃疡穿孔
B.胃溃疡穿孔
C.急性胆囊炎
D.急性阑尾炎
E.急性胰腺炎
参考答案：A
解析：十二指肠溃疡为夜间痛，进食可缓解，突发上腹部持续性剧烈疼痛，迅速转移至全腹可考虑为穿孔。
| 根据表格内容，选择正确答案。 | ||||||||||
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| 1. Both Alice and Maria like shopping . | ||||||||||
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| A. with friends B. alone C. at the weekends D. on weekdays | ||||||||||
| 2. Alice's husband says. "I don't think it fits you well." He means " ". | ||||||||||
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| A. The dress is not suitable for you B. It is large on you C. It is too expensive D. It is small on you | ||||||||||
| 3. Why does it take Maria much time to buy things? | ||||||||||
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| A. Because she doesn't really like shopping B. Because there are too many people in the shop C. Because she wants to find the same thing cheaper D. Because she like buying expensive things | ||||||||||
| 4. We can learn from Maria's words that . | ||||||||||
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| A. many people like shopping at the weekends B. things are cheaper at the weekends C. people don't like shopping at the weekends D. she sometimes goes shopping at the weekends | ||||||||||
| 5. Maria likes to buy food . | ||||||||||
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| A. in small shops B. in supermarkets C. in streets D. in street markets |