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患者女性,69岁。20多年前因右上腹部疼痛不适,行B超检查发现结石性胆囊炎,经消炎利胆、解痉治疗好转。以后上述症状反复发作,性质同前。近来患者右上腹部疼痛再次发作并放射至肩背部疼痛不适,伴恶心、呕吐等症状。查体:心肺未见明显异常,腹部平坦,未见胃肠型及蠕动波,腹壁静脉无曲张,无疤痕,未见异常搏动;腹软,右上腹部压痛
Patient female, 69 years old. More than 20 years ago because of right upper quadrant pain discomfort, line B-ultrasound found that stone cholecystitis, anti-inflammatory gallbladder, antispasmodic treatment improved. After the above symptoms recurrent, the same nature as before. Recently the patient’s right upper quadrant pain episodes again and radiated to the shoulder and back pain discomfort, with nausea, vomiting and other symptoms. Physical examination: no obvious abnormal heart and lung, abdominal flat, no gastrointestinal and peristaltic waves, abdominal varicose veins, no scars, no abnormal beats; abdomen soft, upper right abdominal tenderness