1　病例介绍患者,男,15岁,因反复出现右中上腹部疼痛1年,加重2月,于1998年10月5日入院。疼痛呈间歇性,向肩背部放射,持续约1h自行缓解。无发热,无恶心、呕吐,食欲佳,大小便正常。有血吸虫疫水接触史。否认肝炎史。体检:发育营养较差,智力发育正常,神清,巩膜及皮肤无黄染,全身浅 1 case description The patient, male, 15 years old, due to recurrent right upper abdominal pain for 1 year, increased in February, on October 5, 1998 admission. Pain was intermittent, to the back of the shoulder radiation, sustained about 1h self-remission. No fever, no nausea, vomiting, good appetite, normal urine. Have schistosomiasis water contact history. Denied the history of hepatitis. Physical examination: developmental malnutrition, normal mental development, Shen Qing, sclera and skin without yellow dye, the whole body is shallow