论文部分内容阅读
病例资料患者,男,61岁,因“发现左上腹部肿物、腹水1年余,加重伴腹胀6个月余”就诊。患者于1年前因腹水在当地医院诊断为结核性腹膜炎,予抗结核药治疗后腹胀渐加重。后患者自行扪及腹部肿物,为求确诊,遂于我院就诊。患者既往曾于35年前行阑尾切除术,饮酒30余年、1年前戒酒。血常规、凝血功能基本正常,肝功能示ALT、AST轻度增高,CEA 95.4μg/L,CA19-9 124.6kU/L,CA72-4 128KU/L。
Case data patients, male, 61 years old, because “found in the left upper abdominal mass, ascites more than 1 year, increased with abdominal distension more than 6 months ” treatment. Patients were diagnosed as tuberculous peritonitis at a local hospital 1 year ago due to ascites, and abdominal distension increased gradually after anti-TB treatment. After the patient palpable abdominal mass, for the sake of diagnosis, then in our hospital. The patient had appendectomy 35 years ago, drinking more than 30 years, 1 year ago to stop drinking. Blood routine, coagulation function was normal, liver function showed ALT, AST increased slightly, CEA 95.4μg / L, CA19-9 124.6kU / L, CA72-4128KU / L.