题目内容

(148~150题共用题干) 男。30岁,间断性上腹痛10余天,晨起突然呕血400ml,并排柏油便4次。自觉头晕心悸。入院测血压13/SkΒa(98m.mmHg),心率108次/分,肝脾未触及,肠鸣音亢进;10年前因黄疸性肝炎住院治'疗后痊愈。半年前体检示乙肝抗原、抗体检查阴性,丙肝抗体检查阴性,近3年间歇出现上腹痛,多于春秋季发作。 148、该患者最可能的诊断是

A. 肝硬化食管静脉曲张破裂出血
B. 消化性溃疡出血
C. 急性胃粘膜病变
D. 食管贲门粘膜撕裂症
E. 胃癌出血

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