病史摘要 病员男,72岁,因腹胀一年,发现腹水二月于1982年2月12日入院。自1981年3月起自觉腹胀,进食后加剧,伴食欲减退。在外院就诊未见好转。曾行胃肠钡餐造影上消化道未见器质性病变。同年12月12日发现有少量腹水,行钡剂灌肠摄片,未见器质性病变。口服双氢克尿噻和安体舒通20d;尿量增多,腹胀略好。1982年1月初在外院B型超声波检查提示肝硬化腹水,给予保肝药和利尿剂,疗效不明显,经腹水化验疑为结核性腹膜炎,给予抗痨治疗,包括异菸肼、PAS和链霉素,用药3d后听力下降 Male patient, age 72, was bloated for one year and found that ascites was admitted on February 12, 1982. Conscious bloating since March 1981, increased after eating, with loss of appetite. No improvement seen in the hospital. Have gastrointestinal barium meal on the upper gastrointestinal tract no organic disease. December 12 the same year found a small amount of ascites, barium enema radiography, no organic disease. Oral hydrochlorothiazide diazepam and spironolactone 20d; increased urine output, bloating slightly better. In early January 1982 in the outpatient hospital B-mode ultrasound showed cirrhosis of the liver ascites, given liver protection drugs and diuretics, curative effect is not obvious, the ascites test suspected tuberculous peritonitis, given anti-tuberculosis treatment, including isoniazid, PAS and Streptomyces Vegetarian, hearing loss after medication 3d