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患者,女,23岁。主诉腹胀,胃纳不佳消瘦1年,近6个月加重,在当地曾以“肝硬化伴腹水”进行治疗,症状无明显好转,于1992年4月8日入院。体检:一般情况差,心肺阴性,腹部极度膨隆,腹围149cm,肝脾未触及,全腹压痛、反跳痛阳性,腹部有波动感,表面光滑,叩诊浊音,肠鸣,下肢凹陷性水肿。实验室检查:Hb9.5g/L,RBC32×10~9/L,ESR60mm/h。尿常规、肝肾功能、血电解质均正常。胸部透视:两肺及心脏外形大小正常,两侧膈肌抬高。下消化道造影示:钡剂通过缓慢,全部结肠受压,横结肠被推压上移到剑突上。B超示:全腹呈多房性肿物占位,右肾未探及。排泄性尿路造影:左肾正常,
Patient, female, 23 years old. Chief complaint of abdominal distension, poor appetite weight loss for 1 year, nearly 6 months to aggravate, once in the local “cirrhosis with ascites” for treatment, no significant improvement in symptoms, in April 8, 1992 admission. Physical examination: poor general condition, cardiopulmonary negative, extremely bulging abdomen, abdominal circumference 149cm, liver and spleen not touched, full abdominal tenderness, rebound tenderness positive, abdominal fluctuations, smooth surface, percussion dullness, bowel, lower limb pitting edema. Laboratory tests: Hb9.5g / L, RBC32 × 10 ~ 9 / L, ESR60mm / h. Urinary routine, liver and kidney function, blood electrolyte are normal. Chest perspective: the size of both lungs and heart shape normal, elevated diaphragm on both sides. Lower gastrointestinal angiography showed: barium slowly, all the colon compression, transverse colon was pushed onto the xiphoid. B ultrasound showed: the whole abdomen was multi-mass tumor mass, the right kidney is not explored. Excretion urography: left kidney normal,