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我院于1994年9月至1995年10月遇4例女性大量腹水病人,3例诊断为卵巢肿瘤,1例为肾病综合症。4例均长期误诊肝硬化腹水达2个月左右。其中1例误诊为多发性浆膜炎,另1例曾误诊冠心病,心力衰竭。肝硬化性大量腹水多见于男性,女性少见,仅占发病率的7.6％,女性大量腹水病人的诊断应慎重。现将4例女性大量腹水临床误诊分析报告如下。
In our hospital from September 1994 to October 1995 4 cases of female patients with large amounts of ascites, 3 cases diagnosed as ovarian cancer, 1 case of nephrotic syndrome. 4 cases were long-term misdiagnosis of cirrhosis ascites for 2 months. One case was misdiagnosed as multiple serositis, the other one had misdiagnosed coronary heart disease, heart failure. A large number of cirrhosis ascites more common in men, rare in women, accounting for only 7.6% of the incidence of large numbers of women with ascites in the diagnosis should be careful. Now 4 cases of female ascites clinical misdiagnosis report as follows.