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患者男,26岁,藏族,牧民。主因上腹部胀痛伴恶心呕吐1天入院。既往无肝炎、胆石症病史,无长期药物服用史及手术史。体检:体温36.8℃,全身皮肤及巩膜中度黄染,右上腹深压痛阳性,无反跳痛及肌紧张,墨菲氏征阴性,全腹未触及明显包块。实验室检查:WBC3.63×10~9/L;ALT 399 U/L,AST 195 U/L,DBIL125.6 umol/L,IBIL 89.4umol/L;HBsA g阴性;包虫酶免试验(BCHSHY)阳性。超声:胆囊相应部位
Male patient, 26 years old, Tibetan, herdsman. Mainly due to abdominal pain with nausea and vomiting 1 day admitted to hospital. Past no history of hepatitis, cholelithiasis, no long-term medication history and history of surgery. Physical examination: body temperature 36.8 ℃, the body of the skin and sclera moderate yellow dye, right upper quadrant deep tenderness positive, no rebound tenderness and muscle tension, Murphy’s sign negative, the whole abdomen did not touch the obvious mass. Laboratory tests: WBC3.63 × 10-9 / L; ALT 399U / L, AST195U / L, DBIL125.6umol / L, IBIL89.4umol / L; HBsAg negative; ) Positive. Ultrasound: the corresponding parts of the gallbladder