患者,女,15岁.以右上腹疼1年余,加重伴发热40d为主诉于1997年9月20日入院.1年前,不明原因出现右上腹疼痛,餐后加重,不伴发热、黄疸及恶心呕吐.按胃病治疗,效果不好.40 d前病情明显加重,恶心、呕吐、低热、乏力,其间出现一次高热现象,经对症处理后热退,治疗上仍以静脉应用抗菌素、输液等措施,病情无缓解,既往史无特殊.入院查体:T 37.8℃,慢性病容,心肺听诊正常,腹平坦,右侧腹肌紧张,右上腹饱 The patient, female, 15 years old, had a right upper quadrant pain for more than one year, and aggravated fever for 40 days. He was admitted to hospital on September 20, 1997. A year ago, unknown causes of right upper quadrant pain, increased postprandial, fever, jaundice Nausea and vomiting, fever, fatigue, during which there was a high fever phenomenon, the symptomatic treatment after the heat back, the treatment is still intravenous use of antibiotics, infusion and so on Measures, no relief of the disease, no history of the past .Physiological examination: T 37.8 ℃, chronic disease, cardiopulmonary auscultation normal, flat belly, right abdominal muscle tension, right upper quadrant full