患者男性,42岁。发现乙肝表面抗原阳性13年,间断上腹部疼痛5月余。患者自发病以来,精神可,饮食正常,睡眠可,尿色黄,体重无明显变化。查体:体温36.2℃,血压150/110 mmHg。心肺等未及异常。皮肤巩膜无黄染,腹部平坦未见腹壁静脉曲张,全腹无压痛、反跳痛及肌紧张,未扪及包块,墨菲氏征(-),肝脾肋下未触及,肝区无叩痛,移动 Male patient, 42 years old. Hepatitis B surface antigen was found positive 13 years, intermittent abdominal pain more than 5 months. Since the onset of patients, the spirit can be normal diet, sleep, urine yellow, no significant weight changes. Physical examination: body temperature 36.2 ℃, blood pressure 150/110 mmHg. Cardiopulmonary and other anomalies. Skin sclera without yellow dye, abdominal flat without abdominal varicose veins, the whole abdomen without tenderness, rebound tenderness and muscle tension, palpable mass, Murphy’s sign (-), liver and spleen ribs did not touch the liver area without Percussion pain, move