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单选题 女性,35岁,规律性上腹痛6年,为饥饿痛,进食后缓解。一天前出现腹痛加剧,呕血、黑便。查体:血压90/60mmHg上腹部局限性压痛,血尿淀粉酶正常。该患者黑便的原因可能为

A、 结肠癌
B、 肠结核
C、 肝硬化门脉高压
D、 十二指肠溃疡
E、 缺血性肠病

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