ascites,peritoneal cavity,peritoneal fluid,etiology of ascites 腹水，腹膜腔，腹水，腹水的病因

《ascites,peritoneal cavity,peritoneal fluid,etiology of ascites 腹水，腹膜腔，腹水，腹水的病因》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在教育資源-天天文庫。

1、ThislecturewasconductedduringtheNephrologyUnitGrandGroundbyMedicalStudentrotatedunderNephrologyDivisionunderthesupervisionandadministrationofProf.JamalAlWakeel,HeadofNephrologyUnit,DepartmentofMedicineandDr.AbdulkareemAlSuwaida.NephrologyDivisionisnotresponsibleforthecontentofthe

2、presentationforitisintendedforlearningand/oreducationpurposeonly.AscitesPresentedbyMahaAl-Sulaimani425200716AscitesDerivedfromtheGreekword“askos”,meaningbagorsac.Definedastheaccumulationoffluidintheperitonealcavity.Itisacommonclinicalfinding,withmanyextraperitonealandperitonealca

3、uses,butmostcommonfromlivercirrhosis.PeritonealcavityItisapotentialspacebetweentheparietalperitoneumandvisceralperitoneum,thetwomembranesseparatetheorgansintheabdominalcavityfromtheabdominalwall.Derivedfromthecoelomiccavityoftheembryo.Largestserosalsacinthebodyandsecretesapproxim

4、ately50mloffluidperday.PeritonealfluidItisanormal,lubricatingfluidfoundintheperitonealcavity.Thefluidismostlywaterwithelectrolytes,antibodies,whitebloodcells,albumin,glucoseandotherbiochemicals.Reducethefrictionbetweentheabdominalorgansastheymovearoundduringdigestion.PatientwithA

5、scitesEtiologyofascitesMostCommoncauses(90%ofcases):PortalHTNsecondarytochronicliverdiseases(cirrhosis)Intra-abdominalmalignancyCongestiveHeartFailureMycobacteriumtuberculosisportalhypertensionItisahighbloodpressureintheportalveinanditstributaries(portalvenoussystem).Itisdefineda

6、saportalpressuregradient(thedifferenceinpressurebetweentheportalveinandthehepaticveins)of5?mmHgorgreater.CausesofportalhypertensionIntrahepaticcauses:livercirrhosisandhepaticfibrosis(e.g.duetoWilson'sdisease,hemochromatosis,orcongenitalfibrosis).Prehepaticcauses:portalveinthrombo

7、sisorcongenitalatresia.Posthepaticobstructionoccuratanylevelbetweenliverandrightheart,includinghepaticveinthrombosis,IVCthrombosis,IVCcongenitalmalformation,andconstrictivepericarditis.Cirrhosismostcommoncausesofcirrhosis:Alcoholicliverdiseaseoralcoholichepatitisviralhepatitis(Bo

8、rC)fattyliverdiseaseOthercausesofascites