111例腹水病因分析

Etiological analysis in 111 patients with ascites

目的探讨不明原因腹水的病因构成及性别、年龄分布。方法收集以腹水原因待查为首诊收治入院的111例患者的临床资料进行回顾性分析。结果 111例患者中,男53例,女58例,平均年龄（54.7±13.2）岁,恶性肿瘤者44例（39.6%）,肝硬化者40例（36.0%）,结核性腹膜炎18例（16.2%）,余少见病6例,仍有3例诊断不明。青年组（〈40岁）结核性腹膜炎10例,恶性肿瘤、肝硬化各2例;中年组（40-60岁）恶性肿瘤者19例,肝硬化16例,结核性腹膜炎5例;老年组（≥60岁）恶性肿瘤者23例,肝硬化22例,结核性腹膜炎3例。结论不明原因腹水的前3位病因分别是恶性肿瘤、肝硬化及结核性腹膜炎。青年组以结核性腹膜炎最常见,中、老年组主要病因是恶性肿瘤、肝硬化。男性患者肝硬化腹水多见,余腹水病因不同性别差异无统计学意义。

Objective To explore the etiology of ascites,its gender and age distribution.Methods The clinical data of 111 patients with ascites of unknown cause were retrospectively analyzed.Results In 111 patients,53cases were males and 58 cases females with an average age of（54.7±13.2）years,including 44 cases with malignancy（39.6%）,40 cases with liver cirrhosis（36.0%）,18 cases with tuberculous peritonitis（16.2%）,6cases with uncommon diseases and 3cases with acatalepsy.In youth group（〈40years）,there were 10 cases of tuberculous peritonitis,2cases of malignancy and 2cases of liver cirrhosis.In middle-aged group（40-60years）,there were 19 cases of malignancy,16 cases of liver cirrhosis and 5cases of tuberculous peritonitis;In elderly group（≥60years）,there were 23 cases of malignancy,22 cases of liver cirrhosis and 3cases of tuberculous peritonitis.Conclusion The top three causes of ascites are malignancy,liver cirrhosis and tuberculous peritonitis.The most common cause in youth group is tuberculous peritonitis,the main causes in elderly group are malignant tumor and liver cirrhosis.Liver cirrhosis is more common in male patients.There is no gender difference in other causes of ascites.