女性，65岁。间歇性进食哽噎，胸骨后憋胀，伴消瘦2年。食管吞钡造影见食管贲门呈"鸟嘴样"改变。首先要考虑的诊断是（）。

A.贲门失弛缓症

B.食管腐蚀性狭窄

C.食管癌

D.食管炎

E.食管痉挛

China's reform and opening has been going on for ________ is like about 30 years now and it's really quite remarkable.

A．that

B．which

C．what

D．it