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病人女,78岁。因腹胀、食欲减退半年入院。查体:腹胀明显、稍膨隆、触诊似有揉面感,移动性浊音不明显,无明显压痛点,未触及肿块。腹部B超提示腹腔中量积液,肝、胆、胰、脾、肾、子宫附件未见明显异常;单纯腹腔穿刺未抽出液体;腹部平片未发现肿块及异常;血常规:白细胞9.8×10~9/L,中性粒细胞0.80,红细胞3.98×10~(12)/L,血红蛋白11.9g/L,血小板110×10~9/L,肝、肾功能及电解质正常。行剖腹探查,见腹腔内有胶冻状液体约4500mL(取出
Female patient, 78 years old. Due to bloating, loss of appetite six months admitted. Physical examination: abdominal distension was obvious, slightly bulging, palpitation seems to be kneading, mobility dullness is not obvious, no tenderness point, not touched the mass. Abdominal B-Tip mid-volume effusion, liver, gallbladder, pancreas, spleen, kidney, uterine appendages no obvious abnormalities; simple peritoneal puncture did not pull out the liquid; abdominal plain film was not found lumps and abnormalities; blood: white blood cells 9.8 × 10 ~ 9 / L, neutrophil 0.80, erythrocyte 3.98 × 10-12 / L, hemoglobin 11.9g / L, platelet 110 × 10-9 / L, liver and kidney function and electrolyte normal. Laparotomy exploration, see the peritoneal jelly-like liquid about 4500mL (removed