1　病历简介女 ,5 4岁。因右下腹疼痛、腹胀、纳差 2 0天 ,于 1999年 2月 19日入我院。入院前 2 0天无明显诱因出现右下腹阵发性疼痛 ,伴恶心、腹胀、纳差及尿少 ,曾在当地医院按“肝硬化伴腹水”治疗 ,效果差。查体 :意识清 ,慢性病容 ,消瘦 ,轻度贫血貌 ,皮肤、巩膜无黄染 , 1 medical history profile female, 5 4 years old. Due to pain in the right lower abdomen, abdominal distension and anorexia 20 days, she was admitted to our hospital on February 19, 1999. On the 20th day before admission, there was no obvious cause of paroxysmal pain in the right lower abdomen, with nausea, abdominal distension, anorexia, and oliguria. He had been treated with “cirrhosis with ascites” in the local hospital. The effect was poor. Physical examination: Clear consciousness, chronic disease, weight loss, mild anemia appearance, no yellow skin, sclera,