多浆膜结核临床较少见,笔者诊治1例早期被误诊为恶性肿瘤,现报告如下:1 病历摘要 患者男,24岁,工人,未婚。平素身体健壮,体型肥胖。因腹胀不适伴低热半个月,无咳嗽,以腹水待查于1989年4月入院。既往无结核病史,家中无结核病人。入院时体温38℃,两肺未闻及罗音。两肺胸片未见实质性病灶,Hb100g/L,WBC5×10~9/L,L60％,N40％,ESR30mm/h。肝功能:ALT35u/L,蛋白电泳:r25％;A超:慢性肝病、肝硬化、脾肿大、腹腔有液性暗区。腹水 Multi-serosal tuberculosis clinics are rare, the author diagnosis and treatment of a case of early misdiagnosed as malignant tumors, are as follows: 1 patient summary male patient, 24 years old, workers, unmarried. Usually physical health, body fat. Due to bloating discomfort with fever for half a month, no cough, ascites waiting to be admitted in April 1989 admission. No past history of tuberculosis, tuberculosis patients at home. Admission temperature 38 ℃, two lungs did not smell and rales. Two lung chest radiograph no substantial lesions, Hb100g / L, WBC5 × 10 ~ 9 / L, L60%, N40%, ESR30mm / h. Liver function: ALT35u / L, protein electrophoresis: r25%; A super: chronic liver disease, cirrhosis, splenomegaly, abdominal liquid dark area. ascites