肝硬化引起胸腔积液较少见,本例发现胸水后25天内无腹水症象,现报告如下:病历摘要邓××,女,71岁,病历号803586。1986年10月22日因轻咳伴少量白痰、气短胸闷,但无发热、盗汗等结核中毒症状。门诊以“右侧结核性渗出性胸膜炎”、“肝硬化”收入院。查体:意识清楚、略消瘦、面色灰暗、右胸第四前肋以下叩诊浊音、呼吸音消失。X 光、超声及胸穿证实为胸腔积液,但无腹水征。肝大肋下三横指,质较硬、轻度压痛,脾不大。检验:血常规正常,血沉13mm/h、黄疸指数12u,凡登白氏反应迟缓,麝浊8u,碘反应(+),GPT50 Liver cirrhosis caused by pleural effusion less common in this case found pleural effusion 25 days after ascites symptoms, are as follows: Medical records Deng × ×, female, 71 years old, medical record number 803586. October 22, 1986 due to cough With a small amount of white sputum, shortness of breath, chest tightness, but no fever, night sweats and other symptoms of tuberculosis. Out-patient to “right tuberculous exudative pleurisy”, “liver cirrhosis” income hospital. Physical examination: Consciousness, a little thin, dark complexion, right chest below the fourth anterior percussion dullness, breath sounds disappear. X-ray, ultrasound and chest wear proved pleural effusion, but no signs of ascites. Liver three ribs under the ribs, the quality of hard, mild tenderness, spleen not. Test: normal blood, erythrocyte sedimentation rate 13mm / h, jaundice index 12u, Fadan White’s slow response, musk turbidity 8u, iodine reaction (+), GPT50