1 病例报告患者,男,42岁,因腹部肿物3个月、增大20天入院。检查:体温,脉搏、血压正常。腹部膨满,中下腹部可扪及儿头大的肿物,质中等硬,表面光滑,局部触痛,肿物活动度差。肝脾未触及。肺肝界位于右锁中线第5肋间,肠音存在。血常规:红细胞4.05×10~(12)/L,血红蛋白130 g/L;白细胞9.0×10~9/L,分叶0.79,淋巴0.21。于中下腹部 B 超可探及20 1 Case report The patient, male, 42 years old, was admitted to the hospital with an abdominal mass of 3 months and an increase of 20 days. Check: body temperature, pulse, blood pressure normal. The abdomen swells, the mid-lower abdomen can lick and the large mass of the child’s head, the material is medium hard, the surface is smooth, the local tenderness, the activity of the tumor is poor. Liver and spleen are not touched. Pulmonary liver is located in the 5th intercostal space of the right locking midline, and intestinal sound is present. Blood routine: RBC 4.05×10 12/L, hemoglobin 130 g/L; WBC 9.0×10 9/L, lobar 0.79, lymph 0.21. In the middle and lower abdomen B super detectable and 20