中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
8期
988-989
,共2页
张树荣%范宗江%李绕梅%刘建昆%刘苗
張樹榮%範宗江%李繞梅%劉建昆%劉苗
장수영%범종강%리요매%류건곤%류묘
乳糜腹水%临床特征%恶性腹膜间皮瘤%肾病综合征%肝硬化
乳糜腹水%臨床特徵%噁性腹膜間皮瘤%腎病綜閤徵%肝硬化
유미복수%림상특정%악성복막간피류%신병종합정%간경화
Chylous ascites%Clinical feature%Malignant peritoneal mesothelioma%Nephrotic syndrome%Cirrhosis
目的 探讨乳糜腹水的临床特征,以提高对该病的认识.方法 对我院1995年1月至2010年1月15年间收治的3例乳糜腹水患者的临床资料进行回顾性分析,并结合文献进行复习.结果 3例乳糜腹水患者主要表现为腹胀、乏力、纳差、消瘦.腹部超声检查示大量腹水,腹水检查示外观为白色乳糜状或黄白色乳糜状,乳糜试验及苏丹Ⅲ染色均为阳性.3例患者的原发病分别为恶性腹膜间皮瘤、急性肾小球肾炎肾病综合征和乙型肝炎后肝硬化.结论 乳糜腹水虽然少见,但病因多种多样,发病机制各异,病情复杂,治疗困难,预后不同.临床医务人员要不断提高对该病的认识,早诊早治,减少误诊.
目的 探討乳糜腹水的臨床特徵,以提高對該病的認識.方法 對我院1995年1月至2010年1月15年間收治的3例乳糜腹水患者的臨床資料進行迴顧性分析,併結閤文獻進行複習.結果 3例乳糜腹水患者主要錶現為腹脹、乏力、納差、消瘦.腹部超聲檢查示大量腹水,腹水檢查示外觀為白色乳糜狀或黃白色乳糜狀,乳糜試驗及囌丹Ⅲ染色均為暘性.3例患者的原髮病分彆為噁性腹膜間皮瘤、急性腎小毬腎炎腎病綜閤徵和乙型肝炎後肝硬化.結論 乳糜腹水雖然少見,但病因多種多樣,髮病機製各異,病情複雜,治療睏難,預後不同.臨床醫務人員要不斷提高對該病的認識,早診早治,減少誤診.
목적 탐토유미복수적림상특정,이제고대해병적인식.방법 대아원1995년1월지2010년1월15년간수치적3례유미복수환자적림상자료진행회고성분석,병결합문헌진행복습.결과 3례유미복수환자주요표현위복창、핍력、납차、소수.복부초성검사시대량복수,복수검사시외관위백색유미상혹황백색유미상,유미시험급소단Ⅲ염색균위양성.3례환자적원발병분별위악성복막간피류、급성신소구신염신병종합정화을형간염후간경화.결론 유미복수수연소견,단병인다충다양,발병궤제각이,병정복잡,치료곤난,예후불동.림상의무인원요불단제고대해병적인식,조진조치,감소오진.
Objective To investigate the clinical features of chylous ascites in order to enhance the awareness of the disease.Methods The clinical data of 3 chylous ascites patients was analyzed retrospectively and relevant literatures were reviewed.Results The major clinical manifestations of the patients were abdominal distension,hypodynamia,anorexia and emaciation.B-abdominal Doppler ultrasound showed massive ascites.The appearance of ascites was white or yellow-white chyle-like shape,and chylous test and Sudan Ⅲ staining were positive.The primary diseases were malignant peritoneal mesothelioma,nephrotic syndrome and hepatitis B cirrhosis respectively.Conclusions Chylous ascites is a rare disease.Its etiological factors vary and the pathogenesis is different.It is difficult to treat and the prognosis is different.Clinical staff should improve the awareness of early diagnosis and treatment of the disease in order to reduce misdiagnosis.
