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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。为明确诊断最适当的检查是

A、 血气分析
B、 B超探查
C、 心电图检查
D、 胸部X线检查
E、 支气管镜检查

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