Etiology and clinical analysis of 218 patients with non portal hypertension ascites

Objective To investigate the 218 elderly patients with portal hypertension ascites etiology constitute and diagnostic.Methods In order to facilitate better guidance to the clinical diagnosis of senile portal hypertension ascites.218 cases of elderly non-portal hypertension in patients with ascites from January 2011 to December 2011 were retro spectively analyzed.Results Of the 218 patients,malignancy in 147 cases(67.4%),28 cases(12.8%) of tuberculous peritonitis,autoimmune disease in 8 patients(3.7%),benign ovarian lesions in 6 patients(2.8%),cardiogenic ascites 10 cases(4.6%),peritonitis change in 7 cases(3.2%),severe drug-induced hepatitis in 2 cases(0.9%),of unknown cause in 10 cases(4.6%) were found.Ascites white blood cell count,the Rivalta trial,the differential diagnosis of as cites total protein exudate meet the diagnostic accuracy rates were lower than serum-ascites albumin gradient ascites.Ascites cytology detection rate was low,the need to increase censorship in order to increase the number of its positive rate.Low sensitivity of CEA in benign and malignant ascites CEA comparison,the difference was not statistically sig nificant(P 0.05).The malignant ascites serum CA125,CA199 compared with the benign group,the difference was statistically significant(P 0.05).Conclusion Elderly patients with portal hypertension ascites main cause of malig nant tumors,abdominal tuberculosis,autoimmune diseases,a detailed medical history,earnest examination and com prehensive use of various inspection tools are helpful in diagnosis.