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结核性腹水传统的诊断依据是:腹水为草黄色,少数呈淡血色,偶见乳糜样,比重一般超过1.016,蛋白含量在30g/L以上,白细胞计数多于0.5×10~9/L,以淋巴细胞为主,腹水一般细菌培养阴性.并结合既往多有结核病史、现原因不明的达2周以上的发烧,伴有腹胀、腹痛等临床表现可做出诊断.但有时由于临床表现不典型,腹水长期聚于腹腔或反复利尿、穿刺放腹水致腹水浓缩,使腹水出现“中间型腹水”,往往导致诊断困难.近年来,由于高科技的发展,先进医疗仪器不断出现以及医疗水平不断提高,腹水的实验室检查对结核性腹水的诊断也有了很大进步.现简述如下:
Conventional diagnosis of tuberculous ascites based on ascites is a straw yellow, a few pale red, occasionally chyme-like, the proportion of more than 1.016, protein content above 30g / L, white blood cell count more than 0.5 × 10 ~ 9 / L to Lymphocytes, ascites, general bacterial culture negative. Combined with the history of more than a history of tuberculosis, is now unknown for up to 2 weeks of fever, accompanied by abdominal distension, abdominal pain and other clinical manifestations can make a diagnosis, but sometimes atypical clinical manifestations , Ascites in the abdominal cavity or repeated diuretic long-term, puncture ascites caused by ascites concentration, ascites appear “ascites”, often leading to diagnosis difficult .In recent years, due to the development of high technology, advanced medical equipment and the continuous emergence of medical equipment continues to improve , Ascites laboratory tests on the diagnosis of tuberculous ascites have also made great progress, are summarized as follows: