患者,女,64岁。主因乏力、纳差伴右上腹持续 　隐痛就诊,追溯病史有“胃病”史10年。查体:皮肤 　巩膜无黄染,心肺未见异常,腹肌轻度紧张,右上腹 　压痛,莫菲氏征阳性,肝脾未触及,胆囊肿大于剑下 　4cm可触及,有触痛,未扪及其它包块肿物;肝功检查: ALT及AST、ALP、GGT均不同程度升高。超声检 　查:胆囊肿大约9.9cm×5.0cm,轮廓欠清晰,囊壁增 Patient, female, 64 years old. Mainly due to fatigue, anorexia with right upper quadrant pain continued treatment, tracing the history of “stomach” history of 10 years. Physical examination: skin sclera no yellow dye, no abnormal heart and lungs, mild abdominal muscle tension, right upper quadrant tenderness, positive Murphy’s sign, liver and spleen not touched, gallbladder cyst greater than 4cm under the sword can be touched, tenderness, not palpable And other mass; liver function test: ALT and AST, ALP, GGT were increased to varying degrees. Ultrasonography: gallbladder swelling about 9.9cm × 5.0cm, the outline is not clear, the wall increased