1病例资料患者,男,48岁,汉族,因“皮肤巩膜黄染25年,体检发现胆囊结石1月余”入院,既往有“痛风”病史。查体:全身皮肤巩膜黄染,腹平坦,无胃肠型及蠕动波,无腹壁静脉曲张,全腹无压痛、反跳痛,无肌紧张,Murphy征阴性,左肋下缘触及肿大脾脏,边缘圆钝,质中,下极至脐平面,未过中线,肝脏肋下未及,肝脾区轻叩痛,肋脊点无压痛,肾区 1 Case data Patients, male, 48 years old, Han nationality, due to “skin sclera yellow dye 25 years, physical examination found gallbladder stones in January more than” admitted to the hospital, past history of “gout”. Physical examination: whole body sclera with yellow skin, flat belly, no gastrointestinal type and peristaltic waves, no abdominal varicose veins, no abdominal pain, rebound tenderness, no muscle tension, Murphy sign negative, lower left costal strokes touch the swollen spleen , Blunt edge, quality, the next to the umbilical plane, not before the line, the liver is not under the ribs, the light of the liver and spleen area pain, rib ridge point no tenderness, kidney area