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患者男,42岁。因浮肿2个月,食欲不振、腹胀、消瘦半个月入院。曾在当地医院按慢性肾炎(肾病变型)给予大剂量强的松治疗,因病情加重而转入我院。查体:慢性病容,腹隆、胀、紧张,可触及大小不等的肿块数处,质硬,腹水征(+)。胸透示心肺正常。肝功除白蛋白25g/L外,余正常,乙肝血清五项指标和丙肝抗体均阴性。腹水清,淡黄,李瓦特试验(+),细胞数400/mm~3,多核25％,单核75％;找到癌细胞。尿常规RBC少许,蛋白,颗粒型管0-2。纤维胃镜检查示
Male patient, 42 years old. Two months of edema, loss of appetite, bloating, weight loss and admission to hospital for half a month. He had been treated with high-dose prednisone as a chronic nephritis (nephropathy type) at a local hospital, and was transferred to our hospital because of aggravation of the disease. Physical examination: chronic disease, abdomen, swelling, tension, can reach the size of the masses, ranging from several, hard, ascites sign (+). The chest shows that the heart and lungs are normal. In addition to albumin 25g/L, liver function was normal, and the five indicators of hepatitis B serum and hepatitis C antibody were negative. Ascites clear, light yellow, Lee Watt test (+), number of cells 400/mm~3, polynuclear 25%, mononuclear 75%; find cancer cells. Urinary RBC a little, protein, granule tube 0-2. Fiber gastroscopy