论文部分内容阅读
腹水的常见病因是慢肝和恶性肿瘤.测定腹水中的生化指标作鉴别诊断早已被人们所探索,但目前仅有少数学者对腹水脂质作研究.作者对99例腹水作回顾性脂质分析及估价.材料及方法:99例腹水患者,其中腹膜转移性肿瘤51例,肝硬化40例,心衰1例,7例慢性肝病伴恶性病,因腹水的病因仍未明确,故另予考虑.第一组54例分为两小组(肝硬化23例,恶性腹水31例)分别测定腹水的胆固醇、甘油三脂、蛋白和磷脂.所有肝病均作肝活检,属酒精性肝硬化12例,肝炎后肝硬化10例,肝静脉阻塞综合征1例.恶性腹水31例,卵巢癌12例,乳房癌11例,8例分别为胰腺、胆囊、食管、胃、子宫癌、腹膜间皮瘤、畸胎瘤及骨肉瘤等.另一组38例,心衰1例、肝硬化17例、恶性疾病20例.腹水总蛋白用商品双缩
Ascites is a common cause of chronic liver and malignant tumor.Determination of biochemical markers of ascites for the differential diagnosis has long been explored, but only a few scholars have studied ascites lipids for 99 cases of ascites for retrospective lipid analysis And evaluation.Materials and methods: 99 cases of ascites patients, including 51 cases of peritoneal metastasis, cirrhosis 40 cases, 1 case of heart failure, 7 cases of chronic liver disease with malignant disease, the etiology of ascites is still not clear, it is also considered .The first group of 54 patients were divided into two groups (cirrhosis, 23 cases, 31 cases of malignant ascites) were measured ascites cholesterol, triglycerides, protein and phospholipid.All liver diseases were biopsy, alcoholic cirrhosis in 12 cases, Liver cirrhosis in 10 cases, hepatic veno-occlusive syndrome in 1. In malignant ascites in 31 cases, ovarian cancer in 12 cases, breast cancer in 11 cases, 8 cases were pancreatic, gallbladder, esophagus, stomach, uterine cancer, peritoneal mesothelioma, Teratoma and osteosarcoma, etc .. The other group of 38 cases, 1 case of heart failure, cirrhosis in 17 cases, 20 cases of malignant disease.Ascites total protein products with shrinkage