病历摘要患者女,56岁(病历号:C-141599),因皮疹3周、上肢水肿l周,于1978年9月12日入院。患者于1978年7月底颈部出现丘疹样皮疹少许,未介意。同年8月21日外出日晒后皮疹增加,以颈、背和上肢明显,伴搔痒,外院曾诊为“过敏性皮炎”。8月25日服中药后上腹痛,溏便,大便4～5次/日。9月5日住某医院,此时发现有少量腹水(比重1.018,黎氏试验(+),红细胞1500/立方毫米,白细胞200/立方毫米,瘤细胞未找到)。 Female patient, 56 years old (medical record number: C-141599), admitted to hospital on September 12, 1978 due to rash for 3 weeks and upper extremity edema for 1 week. Patient at the end of July 1978 a small papular rash of the neck, did not mind. In the same year on August 21 after going out to the sun rash increased to the neck, back and upper limbs obvious, with itching, the hospital has been diagnosed as “allergic dermatitis.” August 25 after taking medicine on the abdominal pain, stool, stool 4 to 5 times / day. September 5, a hospital, at this time found a small amount of ascites (specific gravity 1.018, Lai’s test (+), red blood cells 1500 / cubic millimeter, white blood cells 200 / cubic millimeter, tumor cells not found).