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【单选题】
患者，女性，50岁。有胃溃疡病史4年余。2天前出现恶心、呕吐，呕吐物为胃内容物，内含血液，4小时前突然出现呕血，量约400ml。查体：心率每分钟110次，呼吸每分钟24次，血压85/50mmHg，表情淡漠，上腹部压痛明显，肠鸣音。此类疾病手术治疗的指征不包括（）A.
近期曾发生过大出血
B.
溃疡位于胃小弯或十二指肠后壁，基底部瘢痕较多
C.
并存瘢痕性幽门梗阻
D.
有活动性出血并造成贫血
E.
内科治疗期间发生的大出血
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