失代偿期肝硬化并胸腔积液称肝性胸水。临床上并不少见,因其病死率高,渐引起人们的重视。现将我们遇到的5例结合文献报告如下: 一.临床资料:见附表 5例患者按Child分级均属C级,查HBsAg4例阳性。均常规B超、X线检查。二.讨论:肝性胸水发生率报道各异,国内有报道为2.1～10.2％。其发病机理尚不清楚,一般认为与下列因素有关:①低蛋白血症;②门静脉高压;③肝淋巴流量 Decompensated cirrhosis and pleural effusion, said liver hydrothorax. Clinical is not uncommon because of its high mortality, gradually aroused people’s attention. Now we encounter 5 cases combined with the literature report as follows: I. Clinical data: See Schedule 5 cases were classified by Child grading are C-level, HBsAg positive 4 cases. All conventional B-, X-ray examination. Second, the discussion: The incidence of hepatic pleural effusion varies, the domestic coverage of 2.1 to 10.2%. The pathogenesis is not clear, generally considered to be related to the following factors: ① hypoproteinemia; ② portal hypertension; ③ hepatic lymph flow