过去20年美国对梨形鞭毛虫引起腹泻与吸收不良的认识虽有增加,但对其所致胆道功能失调还未引起重视。最近我们遇到1例,39岁,男性,有中上腹和右上腹剧痛,恶心呕吐。体检:轻度右上腹触痛,轻度肝大,近5天不发热。实验室检查:血红蛋白13.5g,白细胞6,600,分类正常,血小板、凝血酶原、总胆 Over the past two decades, the awareness of diarrhea and malabsorption caused by Pyrip5 + in America has been increasing, but attention has not been paid to the biliary dysfunction. We recently encountered 1 case, 39 years old, male, with pain in the middle and upper right abdomen, nausea and vomiting. Physical examination: mild right upper quadrant tenderness, mild hepatomegaly, no fever in the past 5 days. Laboratory tests: hemoglobin 13.5g, 6,600 white blood cells, normal classification, platelets, prothrombin, total gall