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例1.24岁,已婚,住院号79704。于1977年1月,因腹胀、午后低热、盗汗、食欲不振等,去几家医院求治,均诊断为结核性腹膜炎,抗结核治疗7个月无效。于1977年11月入我院。月经正常,否认结核史。查体:T37.5℃,P78次/分,Bp110/70mmHg。心肺正常,腹部膨隆,全腹柔面感,压痛(-),腹水征(+),右下腹似触及一包块,边界不清。子宫大小正常。腹水比重1.010以下,李氏反应(-),蛋白1g%.细胞数1341个/mm~3。唾液酸140单位,血沉16mm/小时。A 型超声检查,全腹为大液平区,右下腹实性包块,直径9cm。钡剂灌肠提示下腹占位性病
Example 1.24 years old, married, hospital number 79704. In January 1977, due to bloating, afternoon fever, night sweats, loss of appetite, go to several hospitals for treatment, were diagnosed as tuberculous peritonitis, anti-TB treatment of 7 months invalid. In November 1977 into our hospital. Normal menstruation, denied a history of tuberculosis. Physical examination: T37.5 ℃, P78 times / min, Bp110 / 70mmHg. Heart and lung normal, bulging belly, full belly soft surface, tenderness (-), signs of ascites (+), right lower quadrant like touching a mass, the border is unclear. Normal uterine size. Ascites specific gravity below 1.010, Lee’s reaction (-), protein 1g%. Cell number 1341 / mm ~ 3. Sialic acid 140 units, ESR 16mm / hour. A-type ultrasound, the whole abdomen is a large liquid area, the right lower abdomen solid mass, diameter 9cm. Barium enema prompt lower abdominal occupancy STD