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患者女,30岁因腹痛腹泻4余年,加重并全身浮肿1个月,于1985年3月21日入院.1981年5月开始出现腹痛、腹泻、腹痛以脐周为重.便前尤甚、为绞痛,便后可稍缓解,腹泻为水样便,或为溏便,重时可伴低热,乏力.诊为“慢性肠炎,”1983年5月患肠套迭手术,发现肠系膜淋巴结肿大.1个月前因劳累及进食生冷食物诱发腹痛、腹泻加重.伴低热乏力,双下肢凹陷性水肿,近半月来,全身浮肿、腹胀加重,以营养不良性水肿收入院.体检:T37.5℃高度浮肿,心脏正常。蛙状腹、肝脾不大,脐周有轻压痛,腹水征阳性,双下肢高度凹陷性浮肿.腹水常规,白色微混,李凡他试验(-)细胞计数106个,多核42%,单核68%,大便培养阴性、GPT(-)、TTT12.4,ZnTT(-)PP4.9、A2.3gG2.6g%.血清蛋白电泳:a24%,a1,2.4%、a2.12%,β26%、γ23.6%、E——RFC22%、
Female patient, aged 30 due to abdominal pain and diarrhea for more than 4 years, aggravating and swollen body for 1 month, was admitted to hospital on March 21, 1985. Abdominal pain, diarrhea and abdominal pain began to appear in May 1981. Especially, For colic, can be slightly relieved, diarrhea, watery stools, or for stool, weight may be associated with fever, fatigue .College of “chronic enteritis,” May 1983 suffering from intussusception surgery and found that mesenteric lymph nodes Large .1 months ago due to fatigue and eating cold food-induced abdominal pain, diarrhea increased with low fever, lower limb pitting edema, nearly half a month, the whole body edema, abdominal distension worse, malnutrition edema admitted to hospital. 5 ℃ highly edema, normal heart. Frog-like abdomen, small spleen and abdomen, slight umbilical tenderness, positive ascites, deep pitting in both lower extremities. Ascites routine, white microbleeds, Li Fan test (-) cell count 106, 42% Nuclear 68%, stool culture negative, GPT (-), TTT12.4, ZnTT (-) PP4.9, A2.3gG2.6g%. Serum protein electrophoresis: a24%, a1,2.4%, a2.12%, β26 %, Γ23.6%, E - RFC22%