患者，男，55岁。低热、腹胀5个月。査体:消瘦，全腹膨隆，未及肿块，移动性浊音阳性。腹水检査：比重1.022,蛋白质35g/L，白细胞计数0.58 x 109/L，单核细胞0.78。最可能的诊断是

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