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女,３５岁,农民,入院前半月出现持续性左上腹隐痛伴恶心呕吐,为胃内容物,量多,无腹泻,无脓血便,当地医院以“十二指肠溃疡”给予治疗,未缓解。入院４天前腹部急剧胀满不适,门诊拟腹水待查于２００１年４月１５日入院治疗。病前无特殊食物史。既往有十二指肠溃疡病史,无过敏史。体检:皮肤巩膜无黄染,无肝掌蜘蛛痣,全腹饱满,左上腹部及脐周有压痛,肝脾肋下未及,移动性浊音阳性,双下肢无浮肿。实验室检查:肝功能、肾功能、电解质均正常,大便常规正常和隐血试验阴性,集卵法未检到虫卵,ＰＰＤ试验阴性,肿瘤标志物(ＡＦＰ２．４ｎｇ/ｍｌ,ＣＥＡ０．８６ｎｇ/ｍｌ,铁蛋白３００．７ｎｇ/ｍｌ等)阴性。外周血ＷＢＣ１２．３×１０９/Ｌ,中性０．２３８,嗜酸性粒细胞０．５３６,嗜酸性细胞直接计数６．６０×１０９/Ｌ,淋巴细胞０．１６９。腹水呈土黄色,混浊,ＷＢＣ１１６８０/μｌ,嗜酸性粒细胞占
Female, 35 years old, farmer, persistent left upper quadrant pain and nausea and vomiting in the first half of admission, stomach contents, quantity, no diarrhea, no abscesses and blood stools, and local hospitals treated with “duodenal ulcer” without relief . Four days before admission abdomen abrupt discomfort, asymptomatic outpatients pending investigation in April 15, 2001 admitted to hospital. No special food before the disease history. Past history of duodenal ulcer, no history of allergies. Physical examination: No scleral skin sclera, no liver palms spider nevus, full belly full, upper left abdomen and umbilical weeks have tenderness, liver and spleen ribs, mobile dullness positive, no swelling of both lower extremities. Laboratory tests: liver function, renal function, electrolytes were normal, normal stool routine and occult blood test was negative, eggs were not detected by the egg test, PPD test negative, tumor markers (AFP2.4ng / ml, CEA0.86ng / ml , Ferritin 300.7ng / ml, etc.) negative. Peripheral blood WBC12.3 × 109 / L, neutral 0.238, eosinophil 0.536, direct eosinophil count 6.60 × 109 / L, lymphocyte 0.169. Ascites was khaki, cloudy, WBC11680 / μl, accounting for eosinophils