摘要
目的:总结237例腹水病例的临床特点,以期为以腹水为主要表现的疾病提供诊断思路和诊断方法。方法:收治腹水患者237例,回顾性分析临床资料。结果:237例腹水病例中确诊病因主要是肝硬化、癌性腹水、结核性腹膜炎、其他病因。4组之间腹水有核细胞数差别、腹水LDH、腹水葡萄糖浓度平均值差别具有统计学意义;但血清CA125、CA19-9、CEA浓度平均值差别无统计学意义;腹水CA125、CA19-9浓度在良恶性腹水中差别不大;而腹水CEA浓度在良恶性腹水中有一定差别。结论:本研究腹水的病因诊断前3位依次为肝硬化、癌性腹水、结核性腹膜炎,癌性腹水以消化道肿瘤占多数。血清CA125、CA19-9、CEA及腹水CA125、CA19-9检测对良恶性腹水诊断没有意义,但腹水CEA检测对良恶性腹水诊断有一定意义。
Objective：h is the direction for us to diagnose by studying the clinical features of ascites. Methods ： Retrospective analysis is performed in 237 in - patients with ascites in October,2003 - June ,2007. Results ： 237 patients with ascites are analyzed according to the diagnostic criteria in hospital, hepatic cirrhosis, ascites of malignant tumor, tuberculous peritonitis, others. The difference of the number of nucleated cell, LDH and Glu in ascites in 4 groups is statistical significant,CA125, CA19 -9 and CEA in blood are not statistical significant, there is no difference of CA125, CA19 -9 in ascites, but the CEA in ascites exists. Conclusions： The main of etiological factors of 237 in - patients are hepatic cirrhosis, ascites of malignant tumor, tuberculous peritonitis, malignant tumor in digestive canal is the main of ascitesofmalignanttumor. NeitherofCA125,CA19- 9 and CEA in blood, nor CA125, CA19 -9 in ascites is significant for us to difterential diagnose, but the CEA in ascites is significant.
