患者女,38岁,已婚。过出月经不准,有时2个月1次,本次末次月经1989年9月10日。于1989年11月4日以右下腹痛6天入院。检查:体温、脉搏、呼吸、血压、心肺均正常,腹软,肝脾肋下未扪及,右上腹及脐下轻度压痛,无反跳痛,但有持续性疼痛及阵发性加剧。诊断胆道蛔虫,胆石症待排除。 Female patient, 38 years old, married. Excused menstruation is not allowed, sometimes 2 times a month, this last menstrual September 10, 1989. On November 4, 1989 to the right lower abdominal pain 6 days admission. Check: body temperature, pulse, respiration, blood pressure, heart and lung are normal, abdominal soft, liver and spleen ribs palpable right upper quadrant and mild tenderness under the umbilical, no rebound tenderness, but with persistent pain and paroxysmal aggravation. Diagnosis of biliary ascariasis, cholelithiasis to be excluded.