病例摘要患者,男,57岁,住院号66870。于3月前始有食欲不振、腹胀、厌油、口渴、嗣后呕吐频繁,以致只能进少量流汁,逐渐消瘦,入院前一个月上述症状加重,并有夜尿增多、乏力、全身不能活动,来我院门诊时发现巩膜轻度黄染,肝功能正常、尿三胆阴性,AFP阴性。超声波胆囊液平4cm,并显低反射波。口服胆囊造影:松弛型胆囊、拟诊为慢性胆囊炎。按胆囊炎治疗无效于1982年6月12日入院。既往健康,未患过肝炎和肾脏疾病。体检:T37.1℃,P80次,R20次,Bp120/80mmHg:贫血面容、神清、消瘦、脱水、皮肤弹性差,无出血点,巩膜无黄染,浅表淋巴结不大,心音弱,无病理性杂音、双肺正常,舟状 Case Summary Patients, male, 57 years old, hospital number 66870. Before March, there was loss of appetite, abdominal distension, tired of oil, thirst, and frequent vomiting later. Only a small amount of juice flowed into the skin and gradually became thinner. One month before admission, the above symptoms were aggravated and there was nocturia, weakness and general failure Activities, to our hospital found mild scleral yellow dye, normal liver function, urine tri-negative, AFP negative. Ultrasound gallbladder level 4cm, and was significantly lower reflected waves. Oral cholecystography: loose gallbladder, to be diagnosed as chronic cholecystitis. Treatment of cholecystitis invalid on June 12, 1982 admission. Past health, not suffering from hepatitis and kidney disease. Physical examination: T37.1 ℃, P80 times, R20 times, Bp120 / 80mmHg: Anemia face, Shenqing, weight loss, dehydration, skin elasticity is poor, no bleeding, scleral no yellow dye, superficial lymph nodes, weak heart sound, no Pathological murmur, normal lungs, boat