男,29岁。因腹胀3个月,加重伴双下肢浮肿10天入院。否认“结核”病及外伤、手术史,平素嗜酒,日饮半斤,历时5年余。查体:慢性肝病容,消瘦体质,全身浅淋巴结不大,胸前见蜘蛛痣两枚,双侧胸腔积液征阳性,腹壁静脉显露,腹水征阳性,双下肢轻度凹陷性浮肿,无色素沉着。血浆蛋白51克/升,白蛋白28克/升,AFP<25微克/升,HBV感染血清学标志阴性;胸、腹水呈乳白色,浑浊,乙醚试验阳性,蛋白定量40.1克/升,比重1.012,胆固醇结晶、抗酸杆菌及瘤细胞均阴性;多次外周血查微丝蚴阴性;胸片心肺、纵隔无异常;胃肠检查食管下端静脉曲张,胃、十二指肠 Male, 29 years old. Due to bloating for 3 months, aggravated with double lower extremity edema admitted to hospital for 10 days. Denied “TB” disease and trauma, history of surgery, usually alcohol, drink half a catty, lasted more than 5 years. Physical examination: chronic liver disease, weight-loss constitution, systemic superficial lymph nodes, spider nevus see two chest, positive signs of bilateral pleural effusion, abdominal veins revealed positive signs of ascites, mild depression of both lower extremity edema, no pigment calm. Plasma protein 51 g / l, albumin 28 g / l, AFP <25 g / l, HBV infection serological markers negative; chest, ascites milky white, cloudy, ether test positive protein quantification 40.1 g / Cholesterol crystallization, acid-fast bacilli and tumor cells were negative; many times to check the microfilariae negative peripheral blood; chest X-ray, mediastinal no abnormalities; gastrointestinal varicose veins, stomach, duodenum