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癌性腹水在癌病人的医疗中是一个实际的临床问题。本文讨论了癌性腹水形成的病理生理学机理,包括腹水产生的增加和从腹腔排出的梗阻;药物治疗,化疗,免疫治疗,放射治疗,高温疗法和手术治疗的价值及临床经验;讨论了各种不同形式治疗的指征和禁忌症。一、生理学腹水的积聚由二个机理控制:液体进入腹腔率和离开腹腔率。流入超过流出率确定腹水存在的量。腹腔间隙正常含量约100ml游离液体,来源于腹膜毛细管内血浆和蛋白的渗出。腹水的产生由门脉压、血浆胶质渗
Cancerous ascites is a real clinical problem in the medical care of cancer patients. This article discusses the pathophysiological mechanisms of the formation of cancerous ascites, including increased ascites production and obstruction discharged from the abdominal cavity; the value and clinical experience of drug treatment, chemotherapy, immunotherapy, radiation therapy, hyperthermia and surgical treatment; various Indications and contraindications for different forms of treatment. First, the physiology of ascites accumulation by the two mechanisms of control: the rate of fluid into the abdominal cavity and leave the abdominal cavity rate. The inflow exceeds the outflow rate to determine the amount of ascites present. The normal content of the abdominal cavity about 100ml of free liquid, derived from peritoneal capillary exudation of plasma and protein. Ascites produced by portal pressure, plasma glial seepage