患者 ,女 ,4 6岁 ,农民。以反复左上腹胀痛 3年 ,加重 7天入院。患者 3年前出现左上腹胀痛 ,不剧烈 ,无伴随症状 ,未就医。 7天前左上腹胀痛加剧 ,难以忍受 ,院外止痛治疗不缓解而来我院求知 ,以“左上腹包块”收入院。入院查体 :Ｔ37℃ ,消瘦 ,痛苦病容 ,轻度贫血貌 ,心肺 (一 Patient, female, 4 6 years old, farmer. Repeatedly left upper abdominal pain for 3 years, an increase of 7 days admitted to hospital. The patient developed pain in the left upper quadrant 3 years ago, was not severe, had no accompanying symptoms, and had no medical treatment. 7 days ago, the pain in the left upper quadrant intensified, and it was unbearable. After the hospital’s pain relief treatment was not relieved, it came to our hospital for knowledge and was admitted to the hospital with a “upper left mass”. Admission examination: T37°C, weight loss, pain, slight anemia, heart and lungs (1