患者女,39岁,因咳嗽,气急,腹胀阵发热1月,腹部发现肿块半天而于1990年12月26日入院。1月来体温波动在38℃～39℃之间,曾住当地医院拟诊胸膜炎给予抗结核治疗,先后抽胸水3次无效而转院治疗。1988年因右眼患黑色素瘤而行右眼球摘除术。查体:右肺呼吸音明显降低,左肺呼吸音稍低,腹部膨隆,腹围93.5cm,移动性浊音(+),下腹部偏左可触及胎头 Female, 39 years old, due to cough, shortness of breath, abdominal distension burst fever in January, the abdomen found mass for a long while on December 26, 1990 admitted. January temperature fluctuations between 38 ℃ ~ 39 ℃, had lived in a local hospital to be treated with anti-TB treatment of pleurisy, has three pumping pleural effusion invalid and transferred to hospital. In 1988 due to right eye melanoma right eye enucleation. Physical examination: right lung breath sounds decreased significantly lower left lung breath sounds, abdominal bulging, abdominal circumference 93.5cm, shifting dullness (+), lower abdomen left touch palms