患者　男,72岁。乏力、纳差1年,加重伴腹胀、恶心及消瘦1个月。1年前无诱因感乏力、纳差,当地医院胃镜检查示胆汁返流性胃炎,服吗叮啉症状略缓解。同时摄胸片示右侧胸水,诊断为结核性胸膜炎,胸水中未找到瘤细胞,抗痨3月余,胸水明显减少。近1个月来上述症状加重,伴腹胀、恶心,体 Male patient, 72 years old. Fatigue, anorexia for 1 year, increased with abdominal distension, nausea and weight loss for 1 month. 1 year ago, no incentive to feel fatigue, anorexia, local hospital gastroscopy showed bile reflux gastritis, service dobutamine symptoms slightly relieved. At the same time the chest radiograph showed right pleural effusion, diagnosed as tuberculous pleurisy, pleural effusion did not find tumor cells, anti-bladder more than 3 months, pleural effusion was significantly reduced. The past month to the above symptoms, with bloating, nausea, body