结核性腹膜炎(以下简称结腹)缺乏特异临床表现和诊断方法,以致容易误诊,我院近年来曾遇三例结腹,入院后虽诊断为结腹,由于仅采用一般常规剂量的异烟肼联合其他抗结核药治疗,未能控制病情,其中两例一度误为腹腔恶性肿瘤,并给以抗肿瘤药物治疗,后经剖腹探查确诊结腹,三例改用大剂量异烟肼联合其他抗结核药治疗后均获得满意疗效,兹报导于后。病例报告例一女性、18岁、因发热、腹胀20多天于1975年8月25日入院。患者于20多天前开始持续发热、高达39℃左右,午后为重,盗汗、腹部膨胀、食欲差、恶心、大便稀溏每天1—2次,曾在×医院按“伤寒”,治疗无效。否认结核病接触史,月经13(4-5)/(28-30)。体检:体温 37.4℃—39.5℃,呈弛张型,发育正常,消瘦、外观贫血,表浅淋巴结不 Tuberculous peritonitis (hereinafter referred to as the abdomen) the lack of specific clinical manifestations and diagnostic methods, so easily misdiagnosed, our hospital has encountered three cases in recent years, the abdomen, although admitted to the hospital diagnosed as abdomen, as only conventional general dose of isoniazid Combined with other anti-TB drugs, failed to control the disease, of which two cases were once misdiagnosed as malignant tumors of the abdominal cavity and given antineoplastic drugs, after laparotomy confirmed the abdomen, three cases of high-dose isoniazid switched to other anti-combination therapy After treatment of tuberculosis were satisfactory results, it is reported later. Case report A female, 18 years old, was admitted to hospital on August 25, 1975 due to fever and bloating for more than 20 days. Patients began more than 20 days before continuing fever, up to about 39 ℃, afternoon heavy, night sweats, abdominal distension, poor appetite, nausea, loose stool 1-2 times a day, had been in the × hospital “typhoid fever”, the treatment is invalid. Denied history of exposure to tuberculosis, menstruation 13 (4-5) / (28-30). Physical examination: body temperature 37.4 ℃ -39.5 ℃, was relaxation type, normal development, weight loss, appearance of anemia, superficial lymph nodes