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【单选题】
(5.6题共用题干)患者男,53岁,发作性上腹痛3年,自服“胃药”逐渐缓解。近1上腹绞痛,且感右肩部痛,伴畏寒.发热,腹部查体可触得右肋下一直径约5cm大小卵圆形包块,表面光滑,有触痛,随呼吸上下活动,初步考虑为慢性胆囊炎急性发作。此患者需确诊首选的检查是A.
ERCP
B.
胃镜
C.
腹部X线片
D.
B超
E.
CT
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