How to check ascites of liver cancer?

summary

Human serous cavity, such as pleural cavity, peritoneal cavity, pericardial cavity, under normal circumstances, only a small amount of liquid, plays a lubricating role in the cavity, rarely can be extracted, how to check the ascites of liver cancer? Now let's take a look.

How to check ascites of liver cancer?

First: bloody ascites: ascites showed varying degrees of meat washing water or microscopic examination with a large number of red blood cells, suggesting that it may be tuberculous peritonitis, hemorrhagic necrotizing pancreatitis, severe hepatitis, acute portal vein thrombosis, rupture of liver cancer, ectopic pregnancy or ovarian follicle rupture, etc.

Second: cancerous ascites: mostly bloody, red blood cells in 5 × The protein content was higher than 10 ^ 9 / L, ascites albumin / serum albumin ≥ 0.462, lactate dehydrogenase was higher than serum lactate dehydrogenase, glucose content was lower, ascites glucose / serum glucose < 1.0, carcinoembryonic antigen was higher, alpha fetoprotein was positive, suggesting that it was more common in portal vein or hepatic vein tumor thrombus obstruction, tumor compression inferior vena cava obstruction, peritoneal metastasis cancer, pancreatic cancer Kidney cancer, etc.

Third: chylous ascites: if the appearance of ascites is white and milky, the specific gravity is 1.012-1.018, the protein content is more than 40g / L, mainly albumin, and the triglyceride is higher than the plasma level, which indicates that it is common in abdominal tumors, lymphatic obstructive diseases and trauma. If the appearance of ascites is yellow and turbid, the specific gravity is less than 1.012, the protein content is 1-30g / L, mainly globulin, Triglyceride is lower than plasma level, suggesting that it is common in chronic abdominal infection and portal cirrhosis. 　

matters needing attention

Diversified diet: Patients with liver ascites have poor digestive ability and do not like to eat, so they should eat some delicious food that can stimulate themselves and eat more fresh fruits and vegetables. But patients can not eat spicy and hard food, because stimulating food can cause esophageal varices rupture or bleeding.