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患者男,23岁。因右上腹间断性疼痛2年入院。疼痛多在进油腻食物后发作,无发热,黄疸史。查体:一般情况好,心肺阴性,腹软,右上腹有深压痛,肝脾未触及。实验室检查:血尿常规,肝、肾功能,心电图均正常。B超提示胆囊底、体部可见4枚强光团,大的6×4mm,小的4×3mm,无声影。口服胆囊造影:胆囊显影良好、未见充盈缺损,收缩功能略差。于1985年5月21日在硬膜外麻醉下行胆囊切除术。病理检查:胆囊底、体部四个有蒂,光
The patient is 23 years old. Discontinued pain in the right upper quadrant was admitted to hospital for 2 years. Most of the pain occurred after the greasy food, no fever, history of jaundice. Physical examination: The general situation is good, the heart and lungs are negative, the abdomen is soft, there is deep tenderness in the right upper abdomen, and the liver and spleen are not touched. Laboratory tests: routine hematuria, liver and kidney function, and normal ECG. B-ultrasound showed that the bottom of the gallbladder, the body can see 4 light groups, large 6 × 4mm, small 4 × 3mm, no sound shadow. Oral gallbladder angiography: The gallbladder was well developed, no filling defect was seen, and the contractile function was slightly poor. On May 21, 1985, a cholecystectomy under epidural anesthesia was performed. Pathological examination: gallbladder bottom, body four pedicles, light