血性腹水多见于腹腔恶性肿瘤或结核病灶,单纯由肝硬化引起者鲜见报道。本文报告4例,以期引为重视。 例1 男性,41岁,1985年2月19日因纳差、腹胀3年,加重1周入院。患者于1981年7月患急性肝炎曾住院治疗月余出院。1982年以来感腹胀、纳差,双下肢有时浮肿,1985年2月12日上述症状加重入院。检查:肝面容,皮肤巩膜无黄染,双手肝掌,左肩、手背见蜘蛛痣数个,心尖区Ⅱ级收缩期杂音,肺(一),腹高度膨隆,肝未触及,脾肋缘下4.5cm,腹部水波感明显,双下肢中度凹陷性水肿。实验室检查:Hb7.8g%,WBC4100/mm~3,N76%,L24%,M1%,血小板7.2万/mm~3,黄疸指教6u,麝浊12u,锌浊18u,A/G= Bloody ascites more common in abdominal malignancies or tuberculosis, liver cirrhosis caused by a rare report. This article reports 4 cases, with a view to attention. Example 1 Male, 41 years old, February 19, 1985 due to anorexia, bloating for 3 years, increased 1 week admission. Patients in July 1981 suffering from acute hepatitis had hospitalized for more than a month after discharge. Sick bloating since 1982, anorexia, sometimes lower extremity edema, February 12, 1985 the above symptoms increased admission. Check: liver face, skin sclera no yellow dye, liver palms hands, left shoulder, back see the spider nevus a few, apex systolic murmur, lung (a), abdomen height bulging, liver not touched, cm, significant abdominal wave sensation, moderate depression in both lower extremity edema. Laboratory tests: Hb7.8g%, WBC4100 / mm ~ 3, N76%, L24%, M1%, platelets 72000 / mm ~ 3, jaundice enlighten 6u,