患者,女,51岁,因“上腹不适1月余”于2015年7月9日就诊。既往体健。1月余前无明显诱因出现上腹部不适,无明显腹痛,无乏力纳差,无恶心呕吐、烧心反酸、呕血黑便等。服用胃药(具体不详)效果欠佳,曾在外院检查:甲乙丙丁戊型肝炎病毒学检查阴性;ALT 484.3 U/L,AST 283.6 U/L,γ-谷氨酰转肽酶(GGT)1 074.1 U/L,碱性磷酸酶(ALP)379.5 U/L, The patient, female, 51 years old, was presented on July 9, 2015 due to “abdominal discomfort more than 1 month ”. Past physical health. No obvious incentive in January before the upper abdominal discomfort, no obvious abdominal pain, no fatigue, poor appetite, no nausea and vomiting, heartburn acid reflux, hematemesis and so on. Administration of stomach medicine (specific unknown) was not effective and had been examined in the outpatient setting: ALT 484.3 U / L, AST 283.6 U / L, γ-glutamyl transpeptidase (GGT) 1 074.1 U / L, alkaline phosphatase (ALP) 379.5 U / L,