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肝性胸水临床上并不罕见,国内报导发生率在0.4～10％。我院自1980年1月～1987年5月在403例伴有腹水和(或)食管静脉曲张的失代偿性肝硬化患者中,18例伴有胸水,占4.5％。现报道如下: 临床资料 一、一般资料:男性15例,女性3例;年龄在14～60岁。 二、胸水检查:胸水位于右侧15例,双侧3例。胸水量均在500ml以上,常规检查为漏出液,其中血性胸水2例(胸膜活检均为阴性)。胸水蛋白平均为20g/L。 三、腹水检查:15例为漏出液,3例介于漏渗液之间,腹水蛋白平均为19.5g/L。
Hepatic pleural effusion is not uncommon clinical, the incidence of domestic coverage of 0.4 to 10%. In our hospital from January 1980 to May 1987 in 403 patients with ascites and / or esophageal varices in patients with decompensated cirrhosis, 18 cases were associated with pleural effusion, accounting for 4.5%. Are reported as follows: Clinical data First, the general information: 15 males and 3 females; aged 14 to 60 years old. Second, pleural fluid examination: hydrothorax in the right side of 15 cases, bilateral in 3 cases. Pleural effusion were more than 500ml, routine examination for the leakage of fluid, including 2 cases of bloody pleural effusion (pleural biopsy were negative). Pleural effusion protein average of 20g / L. Third, ascites examination: 15 cases of leakage of fluid, 3 cases between the leakage of fluid, ascites protein average of 19.5g / L.