患者女,32岁,以腹胀、纳差、乏力于1991年3月13日入院。于元月中旬始觉上腹部饱胀不适,不思饮食,且腹部逐渐膨隆;入院前20天外院查B超诊为肝硬化腹水,给予保肝利尿治疗无效。查体:消瘦,腹部膨隆,腹肌略紧张,无明显压痛,肝脾不大,腹水征阳性;肛门指诊直肠前壁可触及无痛性包块。辅助检查:血尿粪常规正常,大便潜血阳性,腹水外观草色微浑浊,比重1.020.粘蛋白阳性,蛋白含量36g/L,红细胞1.5×10~8/L,白细胞9.8×10~8/L,中性白细胞数 The patient, 32 years old, admitted to hospital on March 13, 1991 with abdominal distension, anorexia, and fatigue. In mid-January, she felt bloated and uncomfortable in the upper abdomen, and did not think about diet, and her abdomen gradually bulged; 20 days before admission, she was diagnosed as having cirrhosis and ascites by a B-ultrasound examination, and hepatic diuretic therapy was invalid. Physical examination: weight loss, abdominal distension, abdominal muscle tension, no obvious tenderness, liver and spleen is small, ascites positive; anal refers to the anterior wall of the rectum can touch painless mass. Auxiliary examination: hematuria, feces normal, fecal occult blood positive, ascites appearance grass slightly turbid, specific gravity 1.020. Mucin positive, protein content 36g/L, red blood cells 1.5×10~8/L, WBC 9.8×10~8/L, middle White blood cell count