病例简介患者男,52岁,确诊为胃低分化腺癌Ⅳ期,伴大网膜、腹膜及肝脏多发转移。因腹胀,排便、排气困难1个月于2012年12月2日入院。间断恶心,无呕吐。饮食以半流质饮食为主,可进食少量固体食物,总摄入量较平时减少。体质量与人院前半年相比减轻4kg,与入院前1个月相比减轻1.5kg,与入院前2周相比,变化不明显。入院查体:身高180cm,体质量70kg,BMI21.6kg/m~2。KPS评分80分。轻度贫血貌,上腹部轻压痛,无反跳痛及肌紧张,肝肋下3cm,剑突下5cm,移动性 Case description Male patient, 52 years old, diagnosed as gastric poorly differentiated adenocarcinoma stage Ⅳ, with omentum, peritoneal and liver multiple metastases. Due to abdominal distension, defecation, difficulty discharging one month on December 2, 2012 admission. Intermittent nausea, no vomiting. The main diet of semi-liquid diet, can eat a small amount of solid food, the total intake of less than usual. Compared with the first half of the hospital, the body mass was reduced by 4kg, which was 1.5kg lower than that of the first month before admission, which was not significantly changed compared with the two weeks before admission. Admission examination: height 180cm, body mass 70kg, BMI21.6kg / m ~ 2. KPS score 80 points. Mild anemia appearance, mild tenderness on the abdomen, no rebound tenderness and muscular tension, 3 cm below the ribs of the liver, 5 cm below the xiphoid, mobility