Non-bloody ascites

Introduction Free liquid that accumulates in the abdominal cavity. Normal people can have a small amount of liquid in the abdominal cavity to lubricate the internal organs. Ascites can be caused by diseases such as heart disease, liver disease, kidney disease, tuberculosis, malignant tumors, etc. It is a common clinical sign. According to its nature, it can be divided into leakage liquid or exudate; non-blood ascites can be divided into serous or chyle according to its appearance.

Cause

Ascites occurs due to systemic or local factors causing fluid to penetrate or leak into the abdominal cavity from the blood vessels and lymphatic vessels. Hypoproteinemia, sodium and water retention, decreased inactivation of vasopressin and aldosterone, portal hypertension, hepatic vein occlusion, peritoneal inflammation and malignant tumors are all important factors in causing ascites.

an examination

Related inspection

Laparoscopic laparoscopic angiography

1. The abdomen is swollen like a drum, and the ascites can move with the change of body position. When lying in a supine position, the dullness of the abdomen on both sides of the abdomen, and the lateral lying position, the side of the abdomen is diagnosed with dullness. Abdominal B-ultrasound or CT examination showed effusion in the abdominal cavity.

2. Think about diagnosis based on accompanying diseases, such as:

(1) With the obvious exposure of the abdominal wall blue muscles, the limbs are thin, which is bulging.

(2) The obvious contact with the mass in the abdominal cavity is caused by the addiction in the abdominal cavity.

(3) There is a history of contact with schistosomiasis water, often abdominal pain and diarrhea, mostly caused by beneficial diseases.

(4) A history of rickets, accompanied by night sweats, hot flashes, etc., mostly caused by rickets.

(5) Ascites rapidly increases, the body is rapidly thin and weak, and it is suspected of cancer and cancer.

(6) Ascites accompanied by jaundice, liver odor in the mouth, is the liver sputum.

3. Abdominal X-ray, B-ultrasound, CT scan, ascites biochemistry and pathology examination, etc., help differential diagnosis.

4. Conventional biochemical indicators, protein quantification, blood lipids, etc., have a guiding role in the treatment of diseases.

Differential diagnosis

Asking a patient about a medical history can provide important clues to the diagnosis. A detailed physical examination can provide a basis for diagnosis. Conventional abdominal puncture, ascites extraction for laboratory tests can be determined as exudate or leakage, visual inspection can be determined to be serous, bloody, purulent or chyle. Ultrasound examination may suggest a small amount of ascites or intra-abdominal mass. X-ray, radionuclide scanning, angiography, CT, MRI, etc., have a greater diagnostic value for diseases that cause ascites. Ascites must be differentiated from ovarian cysts.

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