病历摘要 :患者 ,李× ,女 ,6 5岁。 3年来反复出现腹胀 ,呕吐。 7天前此症状再次加重 ,1998年 6月 2 6日经“Ｂ”超检查 ,以“胆囊结石”收住。查体 :一般情况可 ,巩膜无黄染、心肺无异常 ,腹膨隆 ,腹壁无静脉曲张 ,未见肠型及蠕动波 ,腹肌略紧张 ,未触及包块 ,无压痛及反跳痛 Medical record summary: Patient, Li ×, female, 65 years old. Abdominal distension and vomiting occurred repeatedly in 3 years. The symptoms were aggravated 7 days earlier. On June 26, 1998, they were super-inspected with a “B” and collected with gallstones. Physical examination: In general, the sclera is yellow-stainless, the heart and lungs are abnormal, abdominal distention, no varicose veins in the abdominal wall, intestinal and peristaltic waves are not seen, abdominal muscles are slightly strained, masses are not touched, no tenderness and rebound tenderness