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1临床资料 患者男,22岁,主因腹胀1个月于1993年10月6日收住院。1个月前患者出现腹胀、恶心、呕吐,呕吐物为胃内容物,以后逐渐出现腹痛、腹泻,大便每日5—6次,为稀糊便,无粘液脓血及里急后重,无发热。当地应用一般药物后呕吐好转,但腹胀仍较明显,收住我院。体温36.6℃,BP16/10kPa,体质瘦,皮肤粘膜无黄染,两肺呼吸音清,心率72次/分,律齐,未闻及杂音,腹膨隆,腹壁较厚,全腹压痛,无反跳痛,未触及包块,肝脾未触及,腹水征阳性。住院后根据患者年轻男性,体质清瘦,以腹胀为首发症状,查体腹膨隆,腹壁厚,有腹水,考虑结核性腹膜炎(结腹)。给予异烟肼、利福平、链霉素抗痨,同时放腹水、
1 Clinical data The patient male, 22 years old, was admitted to hospital on October 6, 1993 due to abdominal distention for 1 month. One month ago, the patient developed bloating, nausea, and vomiting. The vomit was stomach contents. He later developed abdominal pain and diarrhea. He had stools 5-6 times a day. He had thin paste, no mucous pus, blood, and tenesmus, and no fever. After the local application of general drugs, vomiting improved, but abdominal distention was still more obvious and he was admitted to our hospital. Body temperature 36.6°C, BP16/10kPa, physical lean, skin and mucous membranes are not yellow, lungs breath sounds clear, heart rate 72 beats/min, regular, unheard and murmur, abdominal distention, abdominal wall thick, abdominal tenderness, no anti Bitterness, untouched mass, liver and spleen not touched, ascites positive. After hospitalization, according to the young male patient, the physique was lean, abdominal distention was the first symptom, and the abdominal distention, abdominal wall thickness, and ascites were considered. Tuberculous peritonitis (belly abdomen) was considered. Given isoniazid, rifampicin, streptomycin, and ascites,