女性腹水相关疾病的妇科器官相关疾病鉴别诊断进展。

Update on the differential diagnosis of gynecologic organ-related diseases in women presenting with ascites.

机构信息

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, Taiwan.

Department of Anesthesia, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2019 Sep;58(5):587-591. doi: 10.1016/j.tjog.2019.07.002.

DOI:10.1016/j.tjog.2019.07.002

PMID:31542076

Abstract

In 2008, we published a review article entitled "Differential diagnosis of gynecologic organ-related diseases in women presenting with ascites" in the Taiwanese Journal of Obstetrics and Gynecololgy. Ascites might be the results of the physiological or pathological status, and the underlying mechanisms varied greatly in the different genders. The diagnostic challenge is frequently found in clinical practice. This review summarizes the recent knowledge and clinical practice for women presenting with ascites. Approach includes history, physical examination, laboratory examination, ultrasound, paracentesis and possible laparoscopy. Accurate and prompt diagnosis not only provides the better care and management but also diminishes the unnecessary psychological stress in women presenting with ascites.

摘要

2008 年，我们在《台湾妇产科杂志》上发表了一篇题为“妇科相关疾病伴腹水患者的鉴别诊断”的综述文章。腹水可能是生理或病理状态的结果，不同性别之间的潜在机制差异很大。在临床实践中经常会遇到诊断上的挑战。本综述总结了目前女性腹水患者的相关知识和临床实践。方法包括病史、体格检查、实验室检查、超声、腹腔穿刺术和可能的腹腔镜检查。准确及时的诊断不仅提供了更好的治疗和管理，还减轻了腹水患者不必要的心理压力。