临床中腹水病因及分析

目的：探讨以腹水为主要表现疾病的病因、临床特点并提供诊断方法.方法：回顾性分析了2007年1月～2010年9月319例腹水病例的临床资料.结果：319例腹水病例中确诊病因主要是肝硬化（50.16%）,结核性腹膜炎（24.14%）,癌性腹水（13.79%）,其它病因（11.91%）;癌性腹水中消化系统肿瘤占59.25%.结论：①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.②SAAG在鉴别腹水查因时具有一定临床意义.③血清及腹水CEA检测在良恶性腹水诊断中有一定意义.

The clinical ascites cause of disease and analyzes

Objective：The discussion take the ascites as the main performance disease cause of disease, the clinical characteristic and provides the diagnosis method. Methods：The review has analyzed in January,2007 -2010 year in September 319 example ascites case of illness clinical material. Results：In 319 example ascites case of illness diagnoses the cause of disease mainly is liver cirrhosis （50.15 %）, tubercular peritonitis （24.14%）, cancerous ascites （l 3.79 %）, other causes of disease （11.91%） ;In the cancerous a scites the digesting system tumor accounts for 59.25 %. Conclusion： （1） Before this research ascites cause of disease diagnosis 3 are in turn liver cirrhosis, the cancerous aseites, the tubercular peritonitis, the cancerous ascites occupy most by the digestive tract tumor. （2）SAAG in distinction ascites Zha Yinshi has the certainly clinical significance. （3）The blood serum and the ascites CEA examination has certain significance in the good malignant ascites diagnosis.