【单选题】【消耗次数：1】
男性，40岁，上腹部隐痛1年余，进食后缓解。2小时前突发上腹部剧痛，查体剑突下压痛，反跳痛。应首先考虑：
①
消化道出血
②
胃溃疡恶变
③
消化道穿孔
④
胃扭转
⑤
肠梗阻
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