患者女性25岁,已婚。因近2月腹胀进行性加剧,伴恶心、呕吐,午后低热、盗汗,月经稀少、白带增多而就诊。患者结婚一年未孕。半年前曾到上海就诊,行子宫输卵管造影后诊断为输卵管结核而给予抗痨治疗。检查;浅表淋巴结无肿大,腹膨隆,移动性浊音(+)。子宫正常大小,右附件扪及一拳头大小包决,质中等,活动欠佳,边界不清,压病(+)。腹腔穿刺抽出黄色浑浊液体:蛋白(++),白细胞840×10~6/L,淋巴细胞0.90,中性 The patient is 25 years old and is married. Due to the increased bloating in recent February, with nausea, vomiting, low fever in the afternoon, night sweats, sparse menstruation, increased vaginal discharge. The patient was not pregnant during the year of marriage. He went to Shanghai for treatment six months ago. He was diagnosed as tubal tuberculosis after hysterosalpingography and was given antituberculosis treatment. Examination; superficial lymph nodes without enlargement, abdominal distention, shifting dullness (+). The normal size of the uterus, the size of the right appendix and fist fist, medium quality, poor activity, unclear boundaries, pressure disease (+). Abdominal puncture with yellow turbid fluid: protein (++), WBC 840×10~6/L, lymphocyte 0.90, neutral