病历摘要患者女,61岁,住院号87878。因食欲减退、厌油、恶心三个月,双眼发黄半月于1980年5月4日入院。自1980年2月起无任何诱因而厌油食、恶心、食欲减退。一个月后上述症状加重,常感腹胀及右上腹部不适,无发冷无烧,但尿黄如浓茶,便灰白色。入院前半月起皮肤搔痒,双眼发黄去地方医院诊为黄疸型病毒性肝炎,预以保肝治疗,症状无好转入我院。否认肝炎接触史,既往无胆囊炎、胆石症病史,病前 Patient history Female, 61 years old, hospital number 87878. Due to loss of appetite, tired of oil, nausea for three months, yellow eyes half a month on May 4, 1980 admission. Since February 1980 without any incentive and tired of greasy food, nausea, loss of appetite. A month later the symptoms worsened, often feel abdominal distension and right upper abdominal discomfort, no fever without burning, but urine such as strong tea, then gray. The first half of the hospital since the skin itching, yellow eyes to the local hospital diagnosed with jaundice-type viral hepatitis, pre-treatment of liver, no symptoms transferred to our hospital. Denied the history of hepatitis exposure, no previous cholecystitis, cholelithiasis history, pre-illness