患者女 ,6 8岁 ,农民。因间断性右上腹痛 2 0年 ,近一周加重伴恶心、食欲不振 7天入院。于 2 0年前无明显诱因出现右上腹隐痛 ,向肩背部放射 ,无恶心、呕吐 ,对症治疗后疼痛缓解 ,此后疼痛间断反复发作。Ｂ超提示胆囊炎 ,未治疗。查体 :全身皮肤及巩膜无黄染 ,心肺未见异常 ,腹 Female patient, 6 8 years old, farmer. Due to intermittent right upper quadrant pain 20 years, increased nearly a week with nausea, loss of appetite for 7 days admission. 20 years ago, no obvious incentive to appear right upper quadrant pain, radiation to the back of the shoulder, no nausea, vomiting, pain relief after symptomatic treatment, after repeated episodes of pain intermittent. B-Tip cholecystitis, untreated. Examination: body skin and sclera no yellow dye, no abnormal heart and lung, abdomen