患者男 ,5 7岁 ,农民。因上腹部疼痛 7个月 ,加重 4个月 ,于 1997年 7月 2日收入院。起病初为持续性腹部隐痛 ,以后腹部疼痛加剧 ,以中上腹部及脐周明显 ,无放射痛 ,无恶心及呕吐 ,无腹泻 ,近来出现纳差、腹胀 ,腹部逐渐隆起 ,近 2 0天出现畏寒及发热。既往有慢性咳嗽史 ,否认 Patient male, 57 years old, farmer. 7 months due to pain in the upper abdomen, aggravating 4 months, on July 2, 1997 income hospital. Early onset of persistent abdominal pain, abdominal pain worsened in the upper abdomen and umbilical weeks obvious no radiating pain, no nausea and vomiting, no diarrhea, the recent emergence of anorexia, bloating, the abdomen gradually bulge, nearly 20 days Chills and fever appear. Past history of chronic cough, denied