213例不明原因腹水的病因分析

【目的】分析不明原因腹水的病因构成，为腹水病因诊断提供临床思路。【方法】回顾分析本院不明原因的腹水病人213例的临床资料。【结果】213例入选病人中男性i00例（46．9％），女性113（53．1％）例，平均年龄55．3岁。其中恶性肿瘤86例（40．4％），结核性腹膜炎47例（22．1％），肝硬化44例（20．6％），布伽氏综合征4例（1．9％），仍有13例（6．1％）未找到原因。【结论】恶性肿瘤是本院腹水查因病人最常见的原因，在腹水的诊断方法中，血清腹水白蛋白梯度、腺苷脱氨酶的检测、腹水脱落细胞学检查等有助于明确诊断。

Analysis of the Causes of 213 Cases of Ascites with Unknown Origin

Objective]To study the causative constitutes of ascites of unknown origin so as to provide the clinical path of the diagnosis of ascites. Methods]The clinical data of 213 patients with ascites of unknown or- igin in our hospital from January 2000 to June 2007 were analyzed retrospectively. Results]Of the 213 pa tients enrolled in the study, 100 （46.90%） were males and 113 （53.1%） were females with a mean age of 55. 3 years. Malignant tumor was the most frequent cause of ascites in 86 （40.4%）. Other most frequent causes were tuberculous peritonitis in 47 （22. 1%）, liver cirrhosis in 44 （20. 6%）, budd-chiari syndrome in 4 （1.9%）, and the causes of 13 （6.1%） cases had not been found. Of 86 patients of malignant tumors, 21 （22.4%） were ovarian cancers, 15 （17.4%） gastric cancers and 7 （8.1%） liver cancers. Conclusion]Malig- nant tumor is the most common cause of ascites. During the diagnosis of ascites, serum ascites albumin gradi- ent, adenosine deaminase（ADA） level, ascites exfoliocytology test, etc. are helpful 1 for final diagnosis.