腹水查因100例临床分析

目的探讨以愎水为主要表现的病因、生化特点和诊断方法。方法对100例入院诊断为“腹水查因的患者进行回顾性调查分析。按痢情需要进行腹水化验、血清-腹水白蛋白梯度分析、B超、胃肠镜、剖腹探查等多项检查。结果100例患者中肝硬化28例、结核性腹膜炎27例、恶性肿瘤55冽、缩窄性心包炎2例、系统性红斑狼疮2例、Budd-Chiari综合征1例，未能确诊5例；门脉高压性腹水与非门脉高压性腹水相比，其SAAG具有显著性差异。结论瞍水查因的患者常见病因是肝硬化、结核性及恶性肿瘤；SAAG在鉴别腹水查因时具有一定临床意义。

Objective To explore the etiology, biochemical characteristics and diagnoses for patients with ascites as main manifesfection. Methods： 100 cases admited with a diagnosis of unknown ascites were retrospective analyzed. These cases were examined by ascites examination, analysis their SAAG, ultrasonograph, endoscopy, exploratory laparotomy. Results In 100 cases, 28 of them were found as liver cirrhosis; 27 of them were found as tuberculous peritonitis; 35 of them found as maligant tubor; 2 of them were found as contrictive pericarditis; 2 of them were found as system lupus erthematosus; 1 of them was found as Budd-Chiari syndrome. 5of them with no final diagnosis. To compare the SAAG of the portal hypertension group with nonportal hypertesion group,there are significant diffrence between them. Conclusion The frist three causes of ascites were malinant tumor, tuberculous peritonitis and liver cirrhosis; There are clinical value for SAAG in identifacation patients with ascites.