中、大量腹水伴胸腔积液87例病因分析

目的　分析中、大量腹水伴胸腔积液患者病因与临床特点 ,旨在提高对该类疾病的认识 .方法　回顾性分析 87例中、大量腹水伴胸腔积液患者的病因及预后 .应用卡方分析病因及预后的差异 .结果　诊断明确组 (72例 )可分为恶性疾病、良性疾病 2大类病因 .前者分卵巢肿瘤、其它恶性肿瘤 .后者分肝硬化、肝炎、肾脏疾病、心脏疾病、风湿性疾病 .恶性肿瘤占 35 / 72 .肝硬化占 2 6 / 72 .结核诊断明确的仅 1例 .未确诊率为 17.2 % .本组住院期死亡率 35 .6 % ,死亡率与病因、有无心衰、是否确诊有关 .结论　中、大量腹水伴胸腔积液的病因以恶性肿瘤、肝硬化居多 ,女性患者应与卵巢肿瘤鉴别 ,死亡率高 .

87 Cases of Middle or Large Amount of Ascitic Fluid Accompanied by Pleural Effusion

Objective To study clinical characters and cause of middle or large amount of ascitic fluid accompanied by pleural effusion.Methods Causes and prognosis of 87 cases of middle or large amount of ascitic fluid accompanied by pleural effusion from 1983 to 2000 is analyzed.Results The cases diagnosed (72 cases) are divided into malignant and benign diseases. The malignant diseases constitute oval tumors and others malignant tumors. The benign diseases constitute hepatic cirrhosis, hepatitis, renal diseases, heart diseases, connective tissue diseases. The malignant tumor accounts for 35/72. The hepatic cirrhosis accounts for 26/72. The tuberculosis is only 1 case. The mortal rate is not related to pathology and heart failure.Conclusion The more pathology of middle or large amount of ascitic fluid accompanied by pleural effusion is malignant tumors, hepatic cirrhosis and the most is oval tumor in female.