本文分析了1976～1981年间10例呈中高热,经病理证实为原发性肝癌的临床资料。男女名5例,年令在24～67岁,青年2例,中老年8例。突然起病,呈长期不规则发热,伴进行性肝肿大,贫血,外周白细胞明显增多,血沉增块。AKP增高,γ-GT增高,肝功能和甲胎蛋白大多阴性,但肝脏同位素和超声波常可提示占位性病变。5′-NPDase-V可能对这类肝癌有诊断价值。它必须与胆石症、胆囊炎、细菌性肝脓肿、败血症等相鉴别,尤其在超声出现液平段时,临床上酷似肝脓肿而常被误诊。此时,对B型超声检查有不规则厚壁伴液性暗区,发热应用抗生素无效而被消炎痛所控制者颇有鉴别意义。 This article analyzed the clinical data of 10 cases of moderate to high fever that were confirmed by pathology as primary liver cancer between 1976 and 1981. The names of men and women were 5, with annual orders between 24 and 67 years old, 2 young people, and 8 old and middle-aged people. Sudden onset, a long-term irregular fever, with progressive hepatomegaly, anemia, peripheral white blood cells increased significantly, increased blood sedimentation. Increased AKP, increased γ-GT, liver function and alpha fetoprotein are mostly negative, but liver isotope and ultrasound often suggest occupying lesions. 5′-NPDase-V may have diagnostic value for this kind of liver cancer. It must be differentiated from cholelithiasis, cholecystitis, bacterial liver abscess, sepsis, etc., especially when there is a liquid-level segment of ultrasound, it is clinically similar to liver abscess and often misdiagnosed. At this time, there are irregular thick-walled liquid dark areas on the B-mode ultrasound examination, and the application of antibiotics for fever is ineffective and controlled by indomethacin.