题目内容

男性,55岁,2天前酒后出现上腹痛,进行性加重,并向腰背部放散,曾呕吐1次,为胃内容物,呕吐后腹痛未减轻,稀便2次。既往有“胆石症”病史10年,无高血压、糖尿病史。查体:体温37.3℃,脉率80次/分,呼吸20次/分,血压120/80mmHg,巩膜无黄染,心、肺未见异常,腹平软,上腹部轻压痛,肝、脾肋下未触及。 对该患者最可能的诊断是

A. 急性肠胃炎
B. 急性胆囊炎
C. 十二指肠球后溃疡
D. 急性胰腺炎

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