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患者男,63岁,因腹胀2年余,加重2个多月于198了年9月8日入院.患者于2年前始无明显诱因而出现下腹饱胀不适,在当地县医院按“肝硬化腹水”治疗效果不明显(既往有“慢性肝炎”病史)。近2个多月,腹胀加剧,且由下腹胀发展为全腹胀并伴下肢浮肿而在当地县医院以“结核性腹膜炎”治疗无效转来.体检:一般情况好。全身表浅淋巴结未及肿大。心肺(一)。腹部膨隆,腹壁有一定的紧张度,似有揉面感。肝脾无法触知,腹部们及一巨大肿块,上界
The patient male, 63 years old, had abdominal distension for more than 2 years and was aggravated for more than 2 months. He was admitted to hospital on September 8 of 198. The patient had no apparent inducement to full abdominal discomfort 2 years ago. He was referred to as a liver at the local county hospital. “Scleroses ascites” treatment effect is not obvious (previously had a history of “chronic hepatitis”). In the past 2 months, bloating has intensified, and it has developed from full abdominal bloating to full abdominal distension with edema in the lower extremities. In local county hospitals, treatment with “tuberculous peritonitis” has been ineffective. Physical examination: Generally good. Superficial superficial lymph nodes are not enlarged. Cardiopulmonary (I). The abdomen is bulging and the abdominal wall has a certain degree of tension. It seems to have a kneading effect. Liver and spleen are untouchable, abdomen and a huge mass, upper bound