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男患16岁,蒙族学生。因午后发热、盗汗、消瘦、腹胀、不规律腹泻1月余。在某医学院诊断结核性腹膜炎,抗痨治疗1个月无效入我院。T37.5℃,恶病质,周身皮肤见散在疱疹,右锁骨上触1个1.5×1.0cm淋巴结,右腹股沟触2.0×2.5cm单个淋巴结。腹膨隆,腹围71cm,肝脾触诊不满意,腹水阳性,肠鸣音弱。诊断结核性腹膜炎,抗痨对症治疗。胸片双侧膈肌升高第四前肋。B超肝厚7.2cm、肋下3.0cm、剑突下4.5cm,肝实质弥漫性回声增强。肠管滞呆,不规则强、低回声交错呈网状。Hb100g/L,RBC3.56×10~(12)/L,WBC14.4×10~9/L,中性73％、淋巴20％、单核4％、酸性3％。
Male suffering from 16 years old, Mongolian students. Afternoon fever, night sweats, weight loss, bloating, irregular diarrhea more than 1 month. In a medical diagnosis of tuberculous peritonitis, anti-tuberculosis treatment 1 month invalid into our hospital. T37.5 ℃, cachexia, see the whole body skin scattered in the herpes, the right clavicle touch a 1.5 × 1.0cm lymph nodes, right groin touch 2.0 × 2.5cm single lymph node. Abdominal bulging, abdominal circumference 71cm, palpation of liver and spleen are not satisfied, ascites, bowel sounds weak. Diagnosis of tuberculous peritonitis, anti-tuberculosis symptomatic treatment. Chest radiographs of both sides of the diaphragm before the fourth rib. B ultra-liver thickness 7.2cm, ribs 3.0cm, xiphoid 4.5cm, diffuse echogenic enhancement of the liver parenchyma. Defects of the intestine, irregular strong, low echo staggered reticular. Hb100g / L, RBC3.56 × 10-12 / L, WBC14.4 × 10-9 / L, neutral 73%, lymphatic 20%, mononuclear 4%, acid 3%.