Analysis Of The Formation Of Etiology And Clinical Features In 266 Patients With Ascites

Objectives To probe into the etiology of 266 patients with unexplained ascites and clinical characteristics,looking forward to find some reason the characteristics of ascites,give us provide some references for clinical diagnosis of unexplained ascites ideas,in order to select specific laboratory and imaging examination.Methods From January 2012 to February 2017,266 cases admitted to our hospital were diagnosed as "ascites cause to be checked",and the clinical data were analyzed retrospectively.According to the characteristics of the patient's disease,after admission,we improved the examination of the imaging pathology of physical examination and blood test,and clearly diagnosed the cause of ascites.According to the cause of different patients,the patients were divided into malignant ascites group(105 cases),liver cirrhosis ascites group(56 cases),tuberculous ascites group(48 cases)and other properties of ascites group(44 cases),small hepatic venous occlusion disease ascites group(13 cases),analysis of the causes of patients with various subgroups of and the relationship with age,gender,and the signs and symptoms of the first three ascites group differences.According to the age of the patients,the patients were divided into the youth group(49 cases),the middle-aged group(72 cases)and the old age group(145cases),and the causes of ascites in different ages were analyzed.Results The causes of patients with unexplained ascites,the highest proportion of malignant ascites(39.5%),followed by liver cirrhosis ascites(21.1%),tuberculous ascites(18%),ascites(16.6%),other property,small hepatic venous occlusion disease ascites(4.9%).In male malignant ascites,the tumor in the digestive system was the first(70.2%),and the female malignant ascites had the first(39.7%)of gynecological malignant tumors(39.7%),and the differences were statistically significant(P < 0.05).There is a high proportion of ascites in malignant ascites(18.1%).Compared with female patients,male tuberculous ascites were more common(P < 0.01).In 56 cases of cirrhosis ascites,cryptogenic cirrhosis(46.4%)was observed,followed by liver cirrhosis(17.9%).The symptoms of ascites were mainly in the elderly population,and the ascites in the youth group were mainly characterized by tuberculous ascites,while the peritoneal water in the middle-aged group and the elderly group were mainly malignant ascites,and the differences were statistically significant(P < 0.05).The symptom was higher in the malignant ascites group than the cirrhosis group and the tuberculosis group(P < 0.05).The symptoms of edema were significantly higher in the cirrhotic ascites group than in the malignant ascites group and the tuberculous ascites(P< 0.01).The fever symptoms were significantly higher in tuberculous ascites than in the cirrhosis group and malignant group(P < 0.01).Weight loss was significantly higher in the malignant ascites or tuberculous ascites group than the cirrhosis group(P < 0.01).There was no statistically significant difference between abdominal pain,diarrhea,abdominal distension and anemic symptoms in malignant ascites,cirrhosis ascites or tuberculous ascites(P>0.05).Conclusion(1)the etiological diagnosis of ascites is malignant ascites,liver cirrhosis ascites,tuberculous ascites,other properties of ascites,and hepatic venous occlusion.(2)malignant ascites accounted for the highest proportion of the causes of unexplained ascites,and the male patients were more likely to have digestive system tumors,such as gastric cancer,pancreatic cancer,and women with gynecological tumors,such as ovarian cancer.There is a high proportion of ascites in malignant ascites.In tuberculous ascites,males are more common than females.(3)The causes of cirrhosis of the ascites in the cirrhosis of the liver were more common,followed by liver cirrhosis.(4)the young population is frequently seen with tuberculous ascites,and the middle-aged and elderly people are seen with malignant ascites.(5)in patients with malignant ascites,liver cirrhosis ascites or tuberculous ascites,symptoms common in patients with malignant ascites,dropsy symptoms common in patients with liver cirrhosis ascites,fever is common in patients with tuberculous,weight loss is common in malignant ascites or in patients with tuberculous ascites.