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一、病例资料例1,男,52岁,农民,因“腹胀、乏力四月余”于2000 年8月8日入院。入院前四月不慎跌伤后一直服用中药土三七治疗(每天3 g,煎服)。入院查体:面色灰暗,巩膜无黄染,浅表淋巴结未及,全腹软,肝肋下3 cm,质中,无压痛,移动性浊音(+),双下肢无浮肿。初步诊断:腹水原因待查,结核性腹膜炎,肿瘤性腹水待排。入院后肝功能:白蛋白(A)32.3 g/L、球蛋白(G)32.9 g/L、丙氨酸氨基转移酶(ALT)98 U/L、天
First, the case data example 1, male, 52 years old, farmer, due to “bloating, fatigue more than four months ” was admitted on August 8, 2000. In April before admission accidentally falls injury has been taking traditional Chinese medicine 37 soil treatment (daily 3g, decoction). Admission examination: looking gloomy, Sclera no yellow dye, superficial lymph nodes, full belly soft, liver ribs 3 cm, quality, no tenderness, mobility dullness (+), no swelling of both lower extremities. Preliminary diagnosis: the cause of ascites pending investigation, tuberculous peritonitis, neoplastic ascites standby. Liver function after admission: 32.3 g / L of albumin (A), 32.9 g / L of globulin (G) and 98 U / L of alanine aminotransferase (ALT)