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单选题 患者男性,72岁。9年前开始经常出现咳嗽、咳痰,近1年来症状加重,咳嗽、咳痰喘息,呼吸困难。X线胸片显示肺透亮度增高,膈肌低平。为判断患者是否并发阻塞性肺气肿,下列检查中最有意义的是

A、 动脉血气分析
B、 FEV1%及其改善率测定
C、 肺残气容量及肺总量
D、 胸部CT扫描
E、 肺下界移动度测定

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