病历摘要患者女，４８岁。入院前１０个月无明显诱因出现乏力、纳差、便秘，伴腹胀及双下肢水肿，无恶心、呕吐及怕冷、发热。曾到多家医院诊治，病情无好转，腹胀及下肢水肿逐渐加重，不能平卧，为进一步诊治转入我院。查体：中年女性，一般情况差，慢性病容，皮肤粗糙，... Patient history Female, 48 years old. Ten months before admission, no obvious incentive inducing fatigue, anorexia, constipation, with bloating and lower extremity edema, no nausea, vomiting and cold, fever. Has been to a number of hospital diagnosis and treatment, the condition did not improve, abdominal distension and lower extremity edema gradually increased, not supine, for further diagnosis and treatment transferred to our hospital. Physical examination: middle-aged women, poor general condition, chronic disease, rough skin, ...