Under normal circumstances, there is a small amount of fluid in the abdomen (usually less than 200 ml), which lubricates intestinal peristalsis. Any pathological condition that causes an increase in the amount of fluid in the abdomen, when it exceeds 200 ml, is called ascites. Ascites is only a symptom. There are many causes of ascites. Research shows that there are three main reasons for ascites in women. There are three reasons for abdominal effusion in women Ascites is the main manifestation of various diseases. According to its characteristics and properties, it is generally divided into three categories: exudative, exudative and persistent. 1. Exposure to ascites Common causes include: hepatic, cardiac, veno-occlusive emphysema, renal, nutritional deficiency, chylous, etc. 2. Exudative Ascites Common causes include: persistent bacterial infection peritonitis, secondary peritonitis (including cancerous peritoneal effusion), tuberculous peritonitis, pancreatic, biliary, chylous Candida peritonitis, etc. 3. Stubborn ascites Common causes include: subacute portal vein thrombosis, rupture of hepatocellular carcinoma mass, rupture of liver trauma, rupture of hepatic artery aneurysm, ectopic pregnancy, etc. The main manifestations of ascites In addition to ascites, symptoms and clinical signs of the original disease often appear. 1. Physical examination of ascites caused by heart disease may reveal clinical symptoms such as cyanosis, peripheral edema, jugular vein distension, cardiac dilatation, precordial tremors, hepatosplenomegaly, arrhythmia, and heart valve murmurs. 2. Patients with liver and gallbladder diseases often present with dull or sallow complexion, yellow skin and sclera, spider nevi on the face, neck or chest, or palms of the liver, varicose veins in the abdominal cavity, hepatosplenomegaly and other clinical symptoms. 3. Ascites caused by chronic kidney disease may have clinical symptoms such as pale complexion and peripheral edema. Flushed face, fever, abdominal tenderness, and a feeling of flexibility in the abdominal cavity may suggest tuberculous peritonitis. 4. Patients with emaciation, cachexia, lymphadenopathy or abdominal masses are more likely to have malignant tumors. It is often accompanied by fever, nausea and retching, abdominal distension and severe abdominal pain. Stubborn ascites generally also has the main manifestation of acute excessive blood loss. The patient will have pale face, moist skin, difficulty breathing, irritability, rapid pulse, low blood pressure, and even shock. |
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