论文部分内容阅读
我院自1990年至1997年12月收治肝硬化患者261例,其中伴有胸水者20例(7.6％),现分析如下。 1 本组肝性胸水的诊断标准 1.1 肝硬化 包括:①严重的肝功能损害,主要是低蛋白血症,白球蛋白倒置;②门脉高压形成,侧支循环建立;③脾功能亢进,包括脾脏肿大,血象中白细胞和(或)血小板减少。 1.2 胸腔穿刺抽出液体和(或)胸透、胸片、超声波检查发现胸水征象。体检可发现胸腔积液征。 1.3 除外结核、心脏病、肿瘤、肾脏病等引起的胸水。 2 临床资料
Our hospital from 1990 to December 1997 admitted to patients with cirrhosis of the 261 cases, of which 20 cases were associated with hydrothorax (7.6%), are analyzed as follows. 1 The diagnostic criteria of this group of hepatic hydrothorax 1.1 cirrhosis include: ① severe liver damage, mainly hypoproteinemia, white blood globulin upside down; ② portal hypertension formation, collateral circulation established; ③ hypersplenism, including spleen Swollen, white blood cells and (or) thrombocytopenia. 1.2 Thoracentesis liquid and (or) chest X-ray, chest X-ray, ultrasound findings of pleural effusion signs. Physical examination can be found signs of pleural effusion. 1.3 Excluding tuberculosis, heart disease, cancer, kidney disease caused by pleural effusion. 2 clinical data