A: Is anything wrong You look pale.
B:().

A. My daughter is in hospital. I must ask for leave to take care of her.

B. Oh, I get up late this morning.

C. Thank you. Nothing is wrong with me.

D. Oh, I got a promotion finally.

女性，42岁，既往胆囊炎病史5年，症状间断发作。1d前午餐后出现腹部剧烈疼痛，恶心、呕吐大量胃内容物，自觉腹胀。查体；体温38.3℃，脉搏90/ rain，血压98/60mmHg。腹平软，剑突下有轻压痛， Murphy征(+)。血白细胞16.0×10⁹/L，中性分叶粒细胞0.85，血淀粉酶1000苏氏单位。

最可能的诊断是

A．急性胆囊炎

B．急性胃肠炎

C．急性水肿型胰腺炎、胆囊炎

D．胃溃疡合并穿孔

E．急性肠梗阻