75例疑难腹水病因分析  

The etiology analysis of 75 patients with complicated ascites

作　　者：杭冬云 刘懿[2] 高泽立[1] 沈洪亮[1] 

机构地区：[1]浦东新区人民医院消化内科,上海201200 [2]复旦大学附属华山医院消化内科

出　　处：《胃肠病学和肝病学杂志》2015年第8期987-989,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的分析疑难腹水的鉴别要点,为临床上"腹水待查"的鉴别诊断提供参考。方法回顾分析2004年3月-2014年3月复旦大学附属华山医院消化科收治的排除心肝肾因素的75例疑难腹水患者的病例资料,对其病因进行分析。结果恶性肿瘤38例(50.7%);结核性腹膜炎20例(26.7%);其他罕见病因包括:肺吸虫病、POEMS综合征、胰腺囊腺瘤、嗜酸性粒细胞性胃肠炎、营养不良、布加综合征、门静脉栓塞、甲状腺功能减退症、干燥综合征等。结论排除心肝肾因素的疑难腹水中最常见的为癌性腹水,其次为结核性腹膜炎及其他罕见病。Objective To analyze the identification of 75 patients with complicated ascites, and provide the refer- ence for differential diagnosis of complicated ascites. Methods The etiology of 75 patients with complicated ascites were analyzed retrospectively, regardless of heart, liver and kidney factors, in the Department of Gastroenterology of Huashan Hospital from Mar. 2004 to Mar. 2014. Results Thirty-eight cases （50.7%） of malignant tumors and 20 ca- ses （26.7%） of tuberculous peritonitis were the main etiologies; other rare diseases included paragonimiasis, POEMS syndrome, pancreatic cystic adenoma, eosinophils gastroenteritis, nutrition disorder ascites, Budd-Chiari syndrome, portal vein thrombosis, hypothyroidism, Sjogren＇ s syndrome, etc. Conclusion Regardless of heart, liver and kidney factors of complicated ascites, cancerous ascites accounted for the first, tuberculous peritonitis takes the second place, and some other rare diseases.

关 键 词：腹水 恶性肿瘤 结核性腹膜炎 

分 类 号：R575[医药卫生—消化系统]