男性，59岁。散步时突然自觉腹部不适、恶心、头晕、出虚汗、心率加快、心慌，急诊。查体：心率106次/分，血压90/60mmHg,心律齐，面色苍白，腹部广泛压痛，尤以右侧腹明显，轻度肌紧张，既往有肝炎后肝硬化史。化验AFP 80(Vg/L。最可能的诊断是

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