| 肝硬化血性腹水产生原因32例临床分析 |
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| 引用本文： | 杨靖,刘国超.肝硬化血性腹水产生原因32例临床分析[J].中国现代医生,2008,46(3):48-49. |
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| 作者姓名： | 杨靖 刘国超 |
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| 作者单位： | 广东省惠东县人民医院消化科,广东惠东,516300 |
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| 摘 要： | 目的了解肝硬化病人产生腹水的原因。方法回顾性分析366例肝硬化腹水的病例，其中32例出现肉眼性血性腹水，通过病史、症状、实验室检查、B超、CT、剖腹手术、腹腔镜活检确诊。结果出血原因中肝癌21例、腹膜静脉曲张破裂3例、结核性腹膜炎3例、自发性腹膜炎2例、出凝血障碍1例、自发性出血性腹水1例、胰腺癌1例。结论肝硬化血性腹水并非罕见，产生的主要原因是合并肝癌。
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| 关 键 词： | 肝硬化 血性腹水 |
| 文章编号： | 1673-9701(2008)03-48-02 |
| 修稿时间： | 2007年10月24 |
Clinical Analysis of Hemorrhagic Ascites of Cirrhosis(A Report of 32 cases) |
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| Authors: | YANG Jing LIU Guochao |
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| Institution: | YANG ding LIU Guochao Department of Gastroenterology, The People＇s Hospital of Huidong County, Guangdong 516300 |
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| Abstract: | Objective To analyse and know about the ascites because of the cirrhosis. Methods 366 cases with ascites of cirrhosis were analysed retrospectively. In them, 32 patients with bloody ascites were diagnosed by history, symptoms, laboratory tests, B-ultrasound, CT, laparotomy surgery and laparoscopic biopsy. Results Causes of hemorrhage were liver cancer（21 cases）, peritonitis（2 cases）, coagulation disfunction（ 1 case）, spontaneous hemorrhagic ascites（ 1 cases） and pancreatic cancer（ 1 case）. Conclusion Hemorrhagic ascites of cirrhosis isn＇t rare and its main cause is liver cancer. |
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| Keywords: | Cirrhosis Hemorrhagic ascites |
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