患者女,20岁。纳差、黄染4个月,低热、右上腹痛二个月,于1991年4月18日以梗阻性黄疸入院。 体检;体温37.5℃,脉搏90次/分,血压16/10kpa,发育正常,消瘦,皮肤、巩膜轻度黄染。全身浅表淋巴结不大,心肺正常,腹平软,肝肋下未及,剑下3cm,质中、触痛存在,脾未及,右上腹有深压痛,无肌卫及反跳痛,无腹水征。化验:血、尿常规检查正常,尿胆红素阳性,黄疸指数46μmol/L,血糖、血淀 Female patient, 20 years old. Anorexia, yellow dye 4 months, fever, right upper quadrant pain for two months, April 18, 1991 admitted to obstructive jaundice. Physical examination; body temperature 37.5 ℃, pulse 90 beats / min, blood pressure 16 / 10kpa, normal development, weight loss, skin, scleral mild yellow dye. Systemic superficial lymph nodes, normal heart and lungs, abdominal soft, under the ribs without ribs, sword 3cm, quality, tenderness exists, the spleen is not the right upper quadrant with deep tenderness, no muscle and rebound tenderness, no Ascites sign. Laboratory: blood, urine routine examination was normal, urine bilirubin-positive, jaundice index 46μmol / L, blood glucose, blood lake