Minoli G, Imperiale G, Spinzi G C, Terruzzi V, Rigas B
Gastroenterology Unit, Ospedale Valduce, Como, Italy.
J Clin Gastroenterol. 1991 Oct;13(5):546-8. doi: 10.1097/00004836-199110000-00014.
We studied the time of onset and other clinical features of biliary pain in 54 patients living in Northern Italy. All patients had cholelithiasis documented by ultrasonography. The time of onset of pain followed a circadian periodicity with its peak occurring at 9:30 p.m. The typical biliary pain was steady, mostly localized in the right upper quadrant of the abdomen or the epigastrium, lasted over 1 h, and required analgesics for relief. The pain was not related to meals or body position. What precipitates biliary pain is still an enigma.
我们研究了居住在意大利北部的54例患者胆绞痛的发作时间及其他临床特征。所有患者均经超声检查证实患有胆结石。疼痛发作时间呈现昼夜周期性，高峰出现在晚上9:30。典型的胆绞痛为持续性，主要位于上腹部右上象限或上腹部，持续超过1小时，需要使用镇痛药缓解。疼痛与进餐或体位无关。引发胆绞痛的原因仍是个谜。
