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目的 探讨乳糜腹水的病因。方法 对 1990～ 1997年 7年间住院病人中 2 2例乳糜腹水进行了分析 ,并与过去 67年间 ( 192 3～ 1989年 )的 17例进行比较。 12例采用了99Tc 淋巴核素显像检查。 8例肉眼观察不能确定为乳糜腹水 ,需经乳糜试验确定。结果 全部 2 2例病因均查明 ,主要为恶性肿瘤 ( 6/ 2 2 )、肝硬化 ( 5 / 2 2 )和结核 ( 4 / 2 2 ) ,此外 ,还包括创伤性和先天性淋巴管病 ,而过去 67年间的 17例中有 5例病因未明。结论 通过综合检查 ,能够明确乳糜腹水的病因 ,病因主要有肿瘤、肝硬化和结核病。对乳糜腹水的病理生理及诊断方法也进行了讨论。
Objective To investigate the etiology of chylous ascites. Methods Twenty-two patients with chylous ascites in inpatients from 1990 to 1997 were analyzed and compared with 17 patients in the past 67 years (192 3 to 1989). Twelve patients underwent 99Tc lymph node imaging. 8 cases of visual observation can not be determined as chylous ascites, chylous test to be determined. Results All 22 patients were diagnosed as etiology, mainly malignant tumors (6/2), cirrhosis (5/2 2) and tuberculosis (4/2 2). In addition, traumatic and congenital lymphangitic , While five of the 17 cases in the past 67 years had etiology. Conclusion Through comprehensive examination, the etiology of chylomic ascites can be clarified. The main causes of the disease include tumor, cirrhosis and tuberculosis. The pathophysiology and diagnosis of chyle ascites were also discussed.