内科血性腹水52例临床分析

Clinical Analysis of Bloody Ascites in Internal Medicine Department of 52 Cases

目的探讨血性腹水的病因及临床特点，提高对本病的认识。方法收集我院资料较全，明确诊断的血性腹水病例，通过相关检查寻找血性腹水的发病原因。结果52例中，男性37例，女性15例，平均年龄59岁。各种恶性肿瘤引起者43例，占82.7％。原发性肝癌15例，占28.8％。非恶性肿瘤导致者9例，占17.3％。结论血性腹水病因各异，以恶性肿瘤居多，其中原发性肝癌最多见。

Objective To explore the clinical features and improve the diagnostic level of bloody ascites. Methods 52 patients with bloody ascites from our department were analyzed as for investigation. Results Among 52 cases of bloody ascites, 37 cases were male and 15 females with the average age of 59 years. 43 patients （82.7%） had different types of tumor, in which 15 cases were primary hepatic carcinoma, while 9 patients without malignant tumor （ 17.3% ）. Conclusion There were various causes for bloody ascites, for which malignant tumor seems to be the main reason, hepatic carcinoma was found mostly in these patients.