患者男,43岁。自1982年6月起,感到右上腹有一手拳大小的包块,伴有胀痛,当时未在意,继续参加劳动。近一周腹痛加重,无恶心呕吐,无寒战发热。口服消炎药后无好转,于1982年7月6日住院。1980年曾患急性黄疸型肝炎。体检:体温37.4℃,脉搏72次/分,皮肤巩膜无黄染,全身浅表淋巴结不大。心肺正常。肺肝界后锁中线五肋间。腹部平,右上腹肋缘下近腹直肌处可以触到一个10×8cm~2的包块,界限不清,质地中等,触痛明显,位置固定,随呼吸无明显活动。实验室检 Male patient, 43 years old. Since June 1982, he felt a mass of hand punches in the right upper quadrant accompanied by pain and pain. At that time, he did not care and continued to work. Abdominal pain increased nearly a week, no nausea and vomiting, no chills and fever. No improvement after oral anti-inflammatory drugs, in July 6, 1982 hospitalization. 1980 had acute jaundice hepatitis. Physical examination: body temperature 37.4 ℃, pulse 72 beats / min, scleral no yellow dye, systemic superficial lymph nodes is not large. Cardiopulmonary normal. Lungs liver after the lock line five intercostal space. Abdominal flat, right upper quadrant near the rectus abdominis near the rectum can reach a 10 × 8cm ~ 2 mass, the boundaries are unclear, medium texture, tenderness obvious, fixed position, with no significant respiratory activity. Laboratory test