非肝性腹水33例临床分析

Clinical analysis of 33 cases of non-hepatic ascites

  • 摘要: 对我院消化科1987年12月~1993年5月收治的33例非肝性腹水进行临床分析。33例患者中,男性14例,女性19例。年龄17~73岁,平均年龄49岁。恶性腹水18例,占54.6%(18/33)。结果显示非肝性腹水的最常见病因是恶性肿瘤和结核。除腹水常规和腹水病理检查外,必要的辅助检查,如胃肠镜、胸片、B超、CT和腹腔选择性血管造影对腹水的病因诊断很有价值。尤其是B超检查简便、经济、无创伤,更易被患者接受。

     

    Abstract: Clinical analysis was made in 33 cases of non-hepatic ascites admitted to the department of gastroenterology from December,1987 to May,1993. Of 33 cases(14 males and 19 females;age range 17 to 23,mean 49) ,18 cases(54.6%) were proved to be malignant ascites and 8 cases(24.2%) were due to tuberculosis. Malignant tumor and turberculosis are the most common causes of non-hepatic ascites.Besides routine test and pathologic test of ascites,endoscopy,CT,chest X-ray,ultrasonography and DSA are also helpful to establish the diagnosis;Ultrasonography is recommended as a convenient,nonexpensive and non-traumatic diagnostic aid.

     

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