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当前学科：消化内科学综合复习题
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男，40岁，腹胀、乏力5年，加重1年，有慢性乙型肝炎史。近1周发热伴腹痛，大便3～4次/天，稀便，无脓血便。查体：巩膜轻度黄染，全腹稍隆，满腹压痛、反跳痛，脾肋下3cm，移动性浊音阳性。最可能的诊断是（）。
A . A.急性出血性坏死性小肠炎
B . 肝炎后肝硬化并自发性腹膜炎
C . 消化性溃疡并穿孔
D . 结核性腹膜炎
E . 原发性肝癌破裂
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