病历摘要患者男性,38岁,因腹胀一个月于1986年12月30日入院。病人于入院前一个月始,无明显诱因自觉上腹部饱胀、尤以进食后明显,并伴有食欲不振、发热,以午后为著,无盗汗咳嗽及咯血。时有双侧胸痛,但无呼吸困难。曾先后在当地县医院就诊,疑似“急性肝炎、肝硬化”。经保肝等对症治疗,症状不见好转。腹胀日渐加重,出现疲乏无力,进行性 Patient summary Male patient, 38 years old, admitted to hospital on December 30, 1986 due to bloating once a month. Patients in the first month before admission, no obvious incentive to consciously abdominal fullness, especially after eating obvious, accompanied by loss of appetite, fever, in the afternoon, no night sweats cough and hemoptysis. There are bilateral chest pain, but no breathing difficulties. Has worked in the local county hospital, suspected “acute hepatitis, cirrhosis.” After liver and other symptomatic treatment, the symptoms did not improve. Increased abdominal distension, fatigue, weakness, progressive