患者,女,39岁,回族,农民.因腹胀、腹痛4月,呕吐1周收入我科.患者曾到我市民族医院就诊,经检查后诊断为:结核性腹膜炎.住院3天出院,但未坚持服用抗结核药,近周加重,并且入我科前几日出现发热.查体:T38.8℃,脉搏110次/min,呼吸24次/min,血压14/10kPa,发育正常,营养不良,慢性病容,半卧位,神志清,浅表淋巴结无肿大,巩膜无黄染,心肺无阳性体征,腹部膨隆,腹围94cm,腹式呼吸减弱,腹壁可见静脉曲张,腹肌紧,腹部触诊不满意,肝脾未及,移动性浊音阳性.实验室检查:血沉4mm/L,血常规:Hb92g/L,WBC7.2×10~9/L,N83.7%,L13.3%,M3.0%.大便常规正常,尿十项正常.腹水检查:黄色,混浊无凝块.利凡它:阳性.白细胞2×10~9/L,多核细胞70%,单核细胞30%,比重1.035,折射率1.345,渗透压1360mosm/L.蛋白6.0g/L,总固体量7.5g/L,乳酸脱氢酶1460U/L.腹部“B”超:腹部巨大囊性包块,提示卵巢癌?卵巢囊肿?腹水中量.腹部平片:腹腔囊肿.腹部 Patients, female, 39 years old, Hui, peasants .Because abdominal distension, abdominal pain in April, vomiting for 1 week income in our department .Patients had to our city hospital, after examination diagnosed as: tuberculous peritonitis. Did not insist on taking anti-TB drugs, aggravating in recent weeks, and into my department a few days before the fever. Examination: T38.8 ℃, pulse 110 beats / min, breathing 24 times / min, blood pressure 14 / 10kPa, normal development, nutrition Poor, chronic disease, semi-recumbent, clear consciousness, superficial lymph nodes without swelling, scleral no yellow dye, no signs of cardiopulmonary, abdominal bulging, abdominal circumference 94cm, decreased abdominal breathing, abdominal varicose veins visible, abdominal tight, Abdominal palpation was not satisfied, liver and spleen were not, mobility dullness positive. Laboratory tests: ESR 4mm / L, blood: Hb92g / L, WBC7.2 × 10 ~ 9 / L, N83.7%, L13.3 %, M3.0%. Normal stools, urine ten normal. Ascites examination: yellow, turbid clot. Lee Van it: positive. White blood cells 2 × 10 ~ 9 / L, 70% of mononuclear cells, monocytes 30 %, Specific gravity 1.035, refractive index 1.345, osmotic pressure 1360 mosm / L. Protein 6.0g / L, total solids 7.5g / L, lactate dehydrogenase 1460U / L. Abdomen “B” Prompted ovarian cancer? Ovarian cyst? Amount of ascites. Abdominal plain film: abdominal cavity Swollen abdomen