病例:患者为男性,18岁,因“中上腹阵发性痛伴皮肤、巩膜黄染10 d,加重2 d”收治入我院。入院前10 d,患者进食油腻食物后出现中上腹阵发性痛,皮肤、巩膜黄染,当时无发热、呕吐。患者至外院就诊,查血常规结果示,白细胞计数13.5×109/L,中性粒细胞0.83;生化常规检查结果示,丙氨酸转氨酶(ALT)86 u/L,天冬氨酸转氨酶(AST)89 u/L,γ-谷氨酰转肽酶44 u/L,总胆红素235.7μmol/L,间接胆红 Case: The patient was male, 18 years old. He was admitted to our hospital because of “middle and upper abdominal paroxysmal pain accompanied with skin and sclera yellow dye for 10 days and aggravating for 2 days.” Ten days before admission, patients with moderate to severe abdominal pain, oily skin and sclera were found to have no fever or vomiting after eating greasy food. Patients to the hospital for treatment, check the blood routine results showed that the white blood cell count 13.5 × 109 / L, neutrophils 0.83; biochemical routine test results showed that alanine aminotransferase (ALT) 86 u / L, aspartate aminotransferase ) 89 u / L, γ-glutamyl transpeptidase 44 u / L, total bilirubin 235.7μmol / L, indirect bile red