In the past ten years, the ____mountain climber ____ a lot from his own adventurous _______

A．experienced; experienced; experience

B．experience; experienced; experiences

C．experienced; has experienced; experiences

D．experience; has experience; experience

患者男，25岁，3年前出现上腹痛，餐后可缓解，有午夜饥饿痛，反复发作。6小时前进食后突然出现中上腹刀割样痛。体格检查：T37.9℃，P102次／分，R20次／分，BP90/65mmHg，神志清楚，皮肤巩膜无黄染，双肺未闻及干湿性啰音，心脏体检无异常。腹壁紧张，全腹有压痛及反跳痛，肝浊音界消失，移动性浊音可疑，肠鸣音减弱。

提示：患者感腹痛加重，全腹有压痛。血淀粉酶130U／L，（Somogyi法），WBC18.9×10⁹/L，中性粒细胞（N）0.90，淋巴细胞（L）0.10，Hb105g/L。X线腹部立位片见图21。诊断考虑哪些疾病？（）

A.急性胰腺炎

B.消化性溃疡并穿孔

C.消化性溃疡并幽门梗阻

D.急性阑尾炎

E.急性腹膜炎

F.急性胆囊炎并穿孔

G.机械性肠梗阻

H.急性胃炎