肝脏疾病引起的胸腔积液最多见于肝硬化(包括肝炎后肝硬化,血吸虫性肝硬化,酒精中毒性肝硬化等)。其发生率国外报道在0.4～30%不等,国内则在3～8.8%之间.近年来国内有人报道乙型肝炎的肝外表现可以急性渗出性胸膜炎为突出临床表现。这两种肝病引起的胸水都以右侧占多数。国内报道的7例乙型肝炎性胸水有5例发生在右侧,1例在左侧。据统计,肝硬化胸水发生在右侧的占97%。有人报道一例乙型肝炎以急性渗出性胸膜为首次发病的主要症状。临床表现全身酸痛、发热,青链霉素治疗无效,五天后左下胸疼痛,胸部照片示胸腔大量积液。雷米封、链霉素、强的松兼抽胸水治疗1个月无效.后改胸腺肽、黄芪、丹参注射剂治疗20 Pleural effusion caused by liver disease is most commonly seen in cirrhosis (including posthepatitic cirrhosis, schistosomiasis cirrhosis, alcoholic cirrhosis, etc.). The incidence of foreign reports ranging from 0.4 to 30%, while in China is between 3 ~ 8.8% .In recent years, it was reported that the extrahepatic manifestations of hepatitis B can be acute exudative pleurisy as a prominent clinical manifestations. Both types of liver disease caused by pleural effusion to the right majority. Domestic reported seven cases of hepatitis B pleural effusion in 5 cases occurred in the right, 1 case on the left. According to statistics, cirrhosis of the pleural effusion occurred in the right side of 97%. It was reported that a case of hepatitis B with acute exudative pleura for the first time the main symptoms. Clinical manifestations of body aches, fever, penicillin treatment is invalid, left lower chest pain after five days, a large chest fluid chest fluid photos show. Remy sealed, streptomycin, prednisone and pleural effusion treatment 1 month invalid. After the change of thymosin, Astragalus, Salvia injection 20