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患者,女性,38岁,于1998年1月2日以腹胀、腹痛入院,伴有乏力,盗汗,低热。查体:体温37.1℃,血压120/80mmHg,慢性消耗病容,浅表淋巴结不大,心肺听诊未见异常。腹肌紧张,有压痛及移动性浊音,双下肢无浮肿。血常规:WBC7.2×10~9/L,SO.38,L0.62,血沉第1小时为102mm,CEA、CA_(50)、CA_(99)等癌标记物阴性,B超示腹腔积液,心电图及胸片均正常。骨穿骨髓增生良好,细胞分类无异常。PDD试验强阳性,血清抗结核抗体阳性。诊断为结核性腹膜炎。给予常规抗痨治疗,PAS、雷米封、链霉素、
Patient, female, 38 years old, admitted to hospital on 2 January 1998 with bloating and abdominal pain accompanied by weakness, night sweats and fever. Physical examination: body temperature 37.1 ℃, blood pressure 120 / 80mmHg, chronic consumption of disease, superficial lymph nodes, cardiopulmonary auscultation no abnormalities. Abdominal tension, tenderness and mobility dullness, no swelling of both lower extremities. Blood routine: WBC7.2 × 10 ~ 9 / L, SO.38, L0.62, erythrocyte sedimentation rate in the first hour was 102mm, CEA, CA_ (50), CA_ (99) and other cancer markers negative, Liquid, ECG and chest X-ray were normal. Bone marrow hyperplasia well, no abnormal cell classification. PDD test strongly positive, positive serum anti-TB antibody. Diagnosis of tuberculous peritonitis. Given conventional anti-tuberculosis treatment, PAS, Remy seal, streptomycin,