摘要
目的探讨疑难性腹水的病因及确诊方法,以期为腹水的临床诊断提供思路。方法对我院消化内科2005年1月~2009年11月收治的61例疑难性腹水患者的临床资料进行回顾性分析。结果61例患者中,恶性肿瘤28例（45.9%）,结核性腹膜炎11例（18.0%）,自身免疫性疾病8例（13.1%）,卵巢良性病变、心源性腹水、腹膜炎性改变各2例（分别占3.3%）,肠系膜上动脉-门静脉瘘、重症药物性肝炎、甲状腺功能减退、布加综合征各1例（分别占1.6%）,原因不明4例（6.6%）。结论疑难性腹水的主要病因前三位依次为恶性肿瘤、腹腔结核、自身免疫性疾病,详细询问病史、认真查体及综合运用多种检查手段有助于确诊。
Objective To explore the etiologies and diagnostic method of complicated ascites.Methods Clinical databases of inpatients with complicated ascites from January 2005 to November 2009 were collected and analyzed retrospectively.Results A total of 61 patients with complicated ascites were enrolled which included 28 cases of malignant tumors,11 tuberculous peritonitis,8 autoimmune disease,2 benign ovarian disease,2 cardiogenic ascites,2 peritonitis,1 severe drug-induced hepatitis,1 hypothyroidism,1 Budd-Chiari syndrome and 4 unknown etiology.Conclusion The most three common etiologies of complicated ascites were malignant tumors,tuberculous peritonitis and autoimmune disease.To get a correct diagnosis of the etiology of ascites,case history in detail,careful physical examination and combinative examination in time are useful and necessary.
出处
《胃肠病学和肝病学杂志》
CAS
2010年第8期752-754,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
腹水
回顾性分析
诊断
病因
Ascites
Retrospective analysis
Diagnosis
Etiology
