摘 要：目的:探讨血性腹水的病因、临床特点、以及提高该病的诊疗水平，加深认识。方法：收集我院内二科48例诊断明确的血性腹水病人，男32例，女16例，平均年龄46.5岁。对该病的病因，临床表现特点，实验室及影像学综合分析。结果：病因为恶性肿瘤35例，居首位，占72.9%，以消化道肿瘤占大多数, 其中癌性腹水22例。病因为非恶性肿瘤13例，占27.1%，病因较多样化，呈分散。结论：血性腹水以恶性肿瘤居多，尤其为消化道肿瘤。确诊需靠多种检测途径。非恶性肿瘤比例偏少，且病因多样。

    关键词：血性腹水；病因；分析

    Clinical Analysis of 48 Patients with Bloody Ascites

    GUO Jun-xiong, ZHENG Yong-ping, YANG Bi-hui, et al

    (The Central Hospital of Shantou, Guangdong Shantou 515041, China)

    Abstract：Objective： To study the cause and clinical feature of bloody ascites and to improve thediagnostic level of bloody ascites.Method: 48 patients with bloody ascites from our department were investigated for the cause , clinical feature ,laboratory examinations and X -image .Result: Among 48 cases, 35 patients (72.9%) had tumor,which was in the top causes for bloody ascites, in which 18 cases were gastroenterological tumor, while 13 patients had not malignant tumor (27.1%).Conclusion： The incidence of bloody ascites is much high in the malignant tumor,especially in gastroenterological tumor. Diagnosis is used by many ways. ......