患者男 ,5 9岁。持续性右上腹痛两周 ,与进食油腻食物有关 ,向肩背部放散。无黄疸 ,无恶心呕吐 ,无腹泻。入院查体 :皮肤及巩膜无黄染 ,全身浅表淋巴结无肿大。肝脾未及 ,右上腹压痛 ,无肌紧张、反跳痛 ,全腹未触及肿块 ,Murphy征阴性 ,未及移动性浊音。实验室检查 :WBC 1 4 0 Patient male, 59 years old. Persistent right upper quadrant pain for two weeks, and eating greasy food, to the shoulder and back to disperse. No jaundice, no nausea and vomiting, no diarrhea. Admission examination: skin and sclera without yellow dye, systemic superficial lymph nodes without swelling. Liver and spleen not yet, the right upper quadrant tenderness, no muscle tension, rebound tenderness, the whole abdomen without touching the mass, Murphy sign negative, not moving dullness. Laboratory examination: WBC 1 40