乳糜性腹水由多种病因所致,其诊断比较困难。 乳糜性腹水可分为真性和假性两种。真性乳糜腹水呈乳白色,不透明,比重为1.012～1.018,pH7.4;静置后可分为三层,上层为奶酪,中层为水,下层为不透明无色层;细胞数少,主要为淋巴细胞;细菌检查阴性;总蛋白量30～80g/L,大多为白蛋白;脂肪9～48g/L,故可含有许多脂肪颗粒;甘油三酯水平超过血浆内含量,乙醚试验阳性,加入苏丹Ⅲ酒精溶液,腹水呈红色。真性乳糜腹水主要见于胸导管损伤、纵隔肿瘤等,肝硬化时 Chylous ascites caused by a variety of causes, the diagnosis is more difficult. Chylous ascites can be divided into two kinds of true and false. True chyle ascites milky white, opaque, the proportion of 1.012 ~ 1.018, pH7.4; after standing can be divided into three layers, the upper is cheese, the middle is water, the lower is opaque colorless layer; less cells, mainly lymphocytes ; Bacterial test negative; total protein 30 ~ 80g / L, mostly albumin; fat 9 ~ 48g / L, it can contain many fat particles; triglyceride levels exceed the plasma content of ether test was positive, add Sudan Ⅲ alcohol Solution, ascites was red. True chylous ascites mainly seen in thoracic duct injury, mediastinal tumors, cirrhosis