患者,女,62岁,住院号139959。81年10月开始,病因不明上腹部不适、恶心、呕吐。吐出胃的内容物,无咖啡色。后转为右上腹持续性隐痛,渐加重,并向右肩背部放射。近一月来又出现不定时阵发性绞痛。食欲减退,饭后上腹部有饱胀感,大便干燥二日一次。当地治疗无效以慢性胆囊炎于1982年元月8日收治。查见腹壁柔软,肝肋下1.5cm,剑突下2cm质中光滑无压痛,脾未及,右肋下轻度触痛,反跳痛(-),莫菲氏征(-),无移动性浊音,肠鸣音正常。胆囊造影:口服造影剂后14、16、18小时照片胆囊未显影。超声波检查:肝稀疏波上下径10cm,肋下1.5cm剑突下2.5cm, Patient, female, 62 years old, hospital number 139959. Starting in October 81, the cause of the episode was unclear, nausea, and vomiting. Stomach contents of stomach, no brown color. Afterwards, it turned into persistent pain in the right upper abdomen, which became heavier and radiated to the right shoulder and back. There have been occasional paroxysmal colics in recent months. Loss of appetite, a sense of fullness in the upper abdomen after a meal, and dry stools once every two days. Invalid local treatment was treated with chronic cholecystitis on January 8th, 1982. See abdominal wall soft, liver subcostal 1.5cm, xiphoid 2cm smooth without tenderness, no spleen, mild tenderness under the right rib, rebound tenderness (-), Murphy’s sign (-), no movement Dull voice, normal bowel sounds. Cholecystography: The gallbladder was not developed at 14, 16, and 18 hours after oral administration of contrast media. Ultrasound examination: Liver sparse wave up and down diameter 10cm, ribs 1.5cm below xiphoid 2.5cm,