Hepatic ascites is the clinical manifestation, while hepatocellular carcinoma is the cause, usually the two are not compared, and the comparability is small. 1. Hepatic ascites is the manifestation of ascites caused by liver damage, such as cirrhosis, primary and secondary hepatocellular carcinoma, etc. In this case, plasma osmotic pressure can be reduced due to low albumin content and portal hypertension, thus leading to the occurrence of ascites. It should be treated by removing the primary lesions, intravenous infusion of albumin and diuretics, etc. The specific severity should be judged in conjunction with the primary disease. 2. Hepatocellular carcinoma is a malignant disease caused by heredity, hepatitis virus and other factors, which can lead to pain in liver area, nausea and vomiting, jaundice, ascites and other symptoms. After diagnosis, it is mostly treated by comprehensive treatment mainly through surgical resection, but if it is not treated in time, it will seriously jeopardize patients’ life when it develops to the late stage. Regardless of whether it is ascites or liver cancer, patients should consult the doctor in time, complete the relevant examinations, make a clear diagnosis, and then adopt corresponding treatment programs.