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腹水可分为良性腹水和恶性腹水。在我院收治的185例腹水患者中良性腹水以肝硬化最多,结核性腹膜炎次之,再次为各种原因引起的心力衰竭,肾病综合症,心包炎等;恶性腹水为恶性肿瘤所致,男性以消化道肿瘤为多,女性则以卵巢瘤为主。腹水的性状可为渗出液或漏出液、血性腹水多见于恶性肿瘤。如病人在40岁以上,腹水生长迅速,一般状态不佳,消瘦明显,有进行性贫血者,应及早做胃肠透视,胃镜,B型超声,CT等检查,有条件可做腹腔镜检查,以求及时确诊。
Ascites can be divided into benign ascites and malignant ascites. In our hospital 185 cases of ascites in patients with benign ascites with cirrhosis, tuberculous peritonitis second, again for a variety of causes of heart failure, nephrotic syndrome, pericarditis; malignant ascites due to malignant tumors, male To digestive tract tumors, while women are mainly ovarian tumors. Ascites traits may exudate or leakage of fluid, bloody ascites more common in malignant tumors. Such as patients over the age of 40, ascites rapid growth, the general state of poor, obvious weight loss, those with anemia, should be done early gastrointestinal, gastroscopy, B-mode ultrasound, CT and other tests, the conditions can be done laparoscopy, In order to timely diagnosis.