Mauk P M, Schwartz J T, Lowe J E, Smith J L, Graham D Y
Department of Medicine, Veterans Administration Medical Center, Houston, TX 77030.
Arch Intern Med. 1988 Jul;148(7):1577-9.
Nephrogenic ascites is a complex diagnostic problem with poorly understood pathophysiology. Morbidity and eventual mortality from this ongoing problem are significant. The diagnosis of nephrogenic ascites must be established by exclusion. We report the cases of nine patients investigated between 1978 and 1985. Laparoscopy, which was utilized in all nine patients, led to a specific diagnosis in two. We believe that a vigorous diagnostic evaluation, including laparoscopy, is essential in patients with chronic renal failure who develop persistent ascites.
肾源性腹水是一个诊断复杂的问题，其病理生理学尚不清楚。这个持续存在的问题导致的发病率和最终死亡率都很高。肾源性腹水的诊断必须通过排除法来确立。我们报告了1978年至1985年间接受调查的9例患者的病例。所有9例患者均接受了腹腔镜检查，其中2例得到了明确诊断。我们认为，对于出现持续性腹水的慢性肾衰竭患者，进行包括腹腔镜检查在内的积极诊断评估至关重要。
