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沈某,女,19岁。1988年5月7日因进行性腹部膨隆偶伴低热盗汗1月余人院。体检:右中下肺呼吸音明显减低,叩诊浊音。腹部明显膨隆,全腹部叩诊浊音,未触及包块。胸片示;右第3前肋以下大片致密影,肋膈角消失。胸腹部超声波检查均有积液。胸腹水化验为渗出性。入院诊断:结核性胸腹膜炎。入院后给予HDZ抗痨治疗,口服强的松及反复腹腔胸腔穿刺抽液40天病情无好转。后经腹部CT检查发现腹腔肿瘤而行剖腹探查见有约30×21×13cm的肿瘤来自右侧卵巢,四周轻度粘连,张力大,包膜完整,
Shen a, female, 19 years old. May 7, 1988 due to progressive abdominal swelling even fever night sweats more than 1 month hospital. Physical examination: right middle and lower lung breath sounds decreased significantly, percussion dullness. Significant bulging abdomen, the entire abdominal percussion dullness, did not touch the mass. Chest X-ray showed; the first three ribs below the right side of the large dense film, costophrenic angle disappears. Ultrasound examination of chest and abdomen have fluid. Pleural effusion as exudative test. Admission diagnosis: tuberculosis peritonitis. After admission to give HDZ anti-tuberculosis treatment, oral prednisone and repeated intra-abdominal thoracentesis pumping 40 days condition did not improve. After the abdominal CT examination of abdominal tumors and laparotomy found about 30 × 21 × 13cm of the tumor from the right ovary, the four weeks of mild adhesion, tension, complete capsule,