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鉴别诊断Wands:概括起来,这位38岁的女性患者有如下特点:入院前3年开始上腹中部疼痛,放射到背部及右肩胛区。曾因胆石症作了胆囊切除,术后6个月腹痛复发。3年来其腹痛逐渐加重且频发。主要的化验检查异常有抗线粒体抗体(AMA)滴定度增高,碱性磷酸酶(AKP)和血清天门冬氨酸转氨酶时高时低。入院前6个月作肝穿刺活检,发现在门管区、门管区周围、胆管周围等部位有淋巴细胞和其他
Differential diagnosis Wands: To sum up, the 38-year-old female patient has the following characteristics: Pain in the middle of the upper abdomen begins 3 years before admission and radiates to the back and the right shoulder area. Cholelithiasis had cholecystectomy, abdominal pain after 6 months recurrence. In the past three years, her abdominal pain gradually increased and frequently. The main laboratory test abnormalities have increased anti-mitochondrial antibody (AMA) titer, alkaline phosphatase (AKP) and serum aspartate aminotransferase high and low. Six months before admission for liver biopsy, found in the portal area, portal area around the bile duct and other parts of lymphocytes and other