1　临床资料患者　女 ,31岁 ,因反复上腹胀痛伴黑便 1月余 ,加重并气促 7ｄ于 2 0 0 0年 5月 10日入院。患者既往体健 ,无结核、丝虫病中。无外伤手术史。入院体检 :右锁骨上淋巴结 0 .8ｃｍ2 ,双下肺叩诊浊音 ,呼吸音消失 ,腹部稍膨隆 ,剑突下似可扪及一包块 ,质中 ,边界欠清 1 Clinical data Female, 31 years old, due to repeated upper abdominal pain with black stool more than 1 month, increased and shortness of breath 7d on May 10, 2000 admission. Past patient’s health, no tuberculosis, filariasis. No history of trauma surgery. Admission medical examination: right supraclavicular lymph node 0 .8 cm2, double lower lung percussion voiced sound, breath sounds disappear, slightly bulging abdomen, the xiphoid may be palpable mass, mass, the border is not clear