问:我记得在我当开业医师期间发现过急性胆囊炎可有右上腹部温度升高。我曾翻阅过5本外科手册亦未能找到任何文献提及此现象。也许胃肠病学专家能够解释我观察到的现象。答:我相信您观察到的现象为一新发现。在一个由35位胃肠病学专家及外科大夫组成的医师团非正式会诊中亦无关于这方面的知识。回顾旧的文献,包括Cabot 鉴别诊断(1913)、Osler 医学实践(1905)及 Q: I remember when I was a medical practitioner I found that acute cholecystitis may have an elevated temperature in the right upper quadrant. I have read through 5 surgical manuals and have not found any reference to this phenomenon. Maybe gastroenterologists can explain what I observed. A: I believe the phenomenon you observed is a new discovery. There is also no knowledge of this area in an informal consultation of a group of 35 gastroenterologists and surgeons. Review of the old literature, including Cabot differential diagnosis (1913), Osler Medical Practice (1905) and