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肝硬变腹水病人的腹水检睑查,鉴别是否为漏出液、癌性及炎性腹水,对于早期诊断和治疗原发性细菌性腹膜炎(PBP),改善预后有重要的临床意义,但有时鉴别较困难.本文分析100例肝硬变腹水的各项检查,并就其各种病因的腹水特点,诊断的意义,尤其是对早期 PBP 的诊断加以讨论.资料与结果收集本科1978～1985年住院肝硬变腹水病人100例.男75例,女25例.年龄为22～64岁.肝炎后及门静脉性肝硬变66例、血吸虫病性3例、胆汁性1例,未分类30例,并发原发性肝癌(PHC)25例、PBP 8例,合并胃癌1例.腹水及有关检查归纳如下:腹水培养全部为阴性.腹水病理:除合并癌性腹水组3例找到瘤细胞外,余皆为阴性.腹水鲎试验:合并 PBP 组检查2例,1例为阳性.
Cirrhosis of the ascites of the ascites eyelid check to identify whether the leakage of fluid, cancerous and inflammatory ascites for the early diagnosis and treatment of primary bacterial peritonitis (PBP), improve the prognosis of important clinical significance, but sometimes identified More difficult.This paper analyzes 100 cases of liver cirrhosis ascites various examinations, and its various causes of ascites characteristics, the significance of diagnosis, especially the diagnosis of early PBP are discussed.Data and results collected undergraduate from 1978 to 1985 hospitalization Liver cirrhosis ascites in 100 patients, 75 males and 25 females, aged 22 to 64. Hepatitis and portal vein cirrhosis in 66 cases, schistosomiasis in 3 cases, bile in 1 case, 30 cases not classified, Complications of primary hepatocellular carcinoma (PHC) in 25 cases, PBP in 8 cases, with gastric cancer in 1. Abdominal ascites and related tests are summarized as follows: Ascites culture were all negative.Ascites pathology: In addition to cancer with ascites in 3 cases to find the tumor cells, All were negative.Ascites 鲎 test: Combined PBP group examination in 2 cases, 1 case was positive.