Menzies R I, Alsen H, Fitzgerald J M, Mohapeloa R G
Tubercle. 1986 Mar;67(1):47-54. doi: 10.1016/0041-3879(86)90031-0.
Tuberculous peritonitis, although a common cause of ascites in Africa, previously was rarely diagnosed in Lesotho. We evaluated prospectively 105 consecutive patients admitted with ascites: tuberculosis accounted for 42% of the cases. Clinical differentiation from other causes of ascites proved to be difficult: signs and symptoms commonly associated with this disease were non-specific and often absent. The majority of our patients were elderly, male and alcoholic. Mortality was 26% despite treatment, and was highest among the aged and those who abused alcohol.
结核性腹膜炎虽然是非洲腹水的常见病因，但以前在莱索托很少被诊断出来。我们对105例连续收治的腹水患者进行了前瞻性评估：结核病占病例的42%。事实证明，与其他腹水病因进行临床鉴别很困难：与这种疾病通常相关的体征和症状不具有特异性，而且常常不存在。我们的大多数患者是老年男性且酗酒。尽管进行了治疗，死亡率仍为26%，在老年人和酗酒者中死亡率最高。
