ASCITES
CHYLOUS ASCITES
Clinical Findings
The typical presentation isof abdominal distention and pain along with vague constitutional symptome.Physical findings-besides ascites-inclube concomitant pleural effusion and peripheral edema.The combination of fever ,night sweats,and lymphadenopathy should arould arouse suspicion of alymphoma.The discovery of milky ascitic fluid on paracentesis suggests the correct diagnos.Only a rough correlation exists between the gross appearance of the fluid and its triglyceride content(200 mg/dL,with amean level of 1500 mg/dL).The fluid leukocyte count(mostly lymphocytes)averages 1000/uL.Hypoalbuminemia,lymphocytopenia,and anemia are frequently present.
Convetional radiologic investigations,particularly CT scan of the abdomen,may be helpful.Lymph node biopsy,where applicable,and laparotomy have hijhest diagnostic value.
參考答案:腹水
乳糜腹水
临床研究结果
典型的介绍isof胃肠膨胀和痛苦与隐晦的宪法symptome一起。研究结果其外物理腹水inclube伴随胸膜流出和周边肿鼓。热病的组合,夜冒汗,并且淋巴结病如果arould激起怀疑。发现alymphoma。在乳状腹水的流体的发现上在paracentesis建议正确diagnos。仅一种概略的交互作用存在流体的总出现和它的甘油三酸酯内容(200之间毫克dL,与1500毫克的amean水平dL)。可变的白血球计数(主要淋巴细胞)平均 1000/负载不足。Hypoalbuminemia,lymphocytopenia,并且贫血症频繁地存在。
Convetional放射性调查,腹部的特殊CT扫瞄,可以是有用的。淋巴结切片检查法,哪里可适用,并且剖腹术有hijhest诊断价值。