女性，37岁。腹胀、腹泻与便秘交替半年。查体：腹壁柔韧感，轻度压痛，肝脾未触及，腹水征（+)。腹水检查：草黄色，比重1.020, 蛋白35g/L。白细胞0.7xl09/L，中性0.30, 淋巴0.70,红细胞0.3X10VL，本例最可能的诊断是

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