原发性肝癌的临床表现多样,且早期缺乏特异性症状和体征,病情进展迅速,辅助检查亦缺乏特异性,因而临床误诊颇多。现将原发性肝癌误诊为肝脓肿2例报告于下,并略加讨论。病例简介【例1】患者女,66岁,住院号273773。于2个月前畏寒、发热,体温波动于37.8～40℃,呈弛张热,腹胀,食欲减退,肝功、火箭电泳均正常,拟诊“肝内占位性病变、肝脓肿”。曾给予庆大霉素、卡那霉素、氨苄青霉素、灭滴灵以及利胆素、亮菌片治疗,高热不退。近经B超多次鉴别仍考虑“肝脓肿”,给氨苄青霉素和新型青霉素Ⅱ治疗4天,高热 The clinical manifestations of primary liver cancer are diverse, and the lack of specific symptoms and signs in the early stages, the condition progresses rapidly, and the auxiliary examination also lacks specificity, so the clinical misdiagnosis is quite numerous. The misdiagnosis of primary liver cancer as a liver abscess is reported in 2 cases and is discussed briefly. Case Introduction [Example 1] Female patient, 66 years old, hospital number 273773. In 2 months ago, chills, fever, body temperature fluctuations in 37.8 ~ 40 °C, was remittent fever, bloating, loss of appetite, liver function, rocket electrophoresis were normal, the diagnosis of “hepatic space-occupying lesions, liver abscess.” He was given gentamycin, kanamycin, ampicillin, metronidazole, and cholesterin and leucorrhizal tablets for treatment. Nearly after the B-ultrasound multiple identification still consider “liver abscess”, to ampicillin and new penicillin II treatment for 4 days, high fever