非肝性腹水45例临床分析

目的探讨非肝性腹水患者的病因、临床特点及诊断方法。方法对45例非肝性腹水患者的资料进行回顾性分析。全部患者进行腹部穿刺的腹水相关检查及病理、胃肠镜、胸片、B超等单项或多项检查。结果45例患者中恶性肿瘤24例,占53.3%;结核性腹膜炎15例,占33.3%;Budd-Chiari综合征2例,占4.4%;肾病综合征1例,占2.2%;系统性红斑狼疮1例,占2.2%;未能确诊者2例,占4.4%。结论非肝性腹水患者的最常见病因是恶性肿瘤和结核性腹膜炎,可根据患者病情作相关检查进行确诊。

Clinical Analysis of 45 Cases with Non-hepatic Ascites

Objective To explore the etiology, clinical characteristics and diagnosis for patients with non-hepatic ascites. Methods 45 cases admited with a diagnosis of with non-hepatic ascites were retrospectively analyzed. These cases were examined by routine test and pathologic test of ascites,endoscopy,chest X-ray,ultrasonography. Results In 45 cases,24 of them (53.3%) were diagnosed as malignant ascites,15 (33.3%) with tuberculous peritonitis,2 (4.4%) with Budd-Chiari syndrome,1(2.2%) with dropsical nephritis,1(2.2%) with systemic lupus erythematosus,2 (4.4%) with no final diagnosis. Conclusion Malignant tumor and tuberculous peritonitis are the most common causes of non-hepatic ascites. Correlative examination can be done according to patients conditions to make accurate diagnosis.