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目的总结肝性胸水诊断和治疗要点。方法回顾分析我院于2001年1月至2005年12月收治肝性胸水者31例临床资料。结果20例胸水消失,7例胸水减少,有效率87.1%;死于上消化道大出血、肝肾综合征、感染性休克4例,死亡率12.9%。结论肝性胸水患者预后差,应提高诊断水平,减少误诊,治疗选择个体化方案,注重原发病治疗。
Objective To summarize the main points of diagnosis and treatment of hepatic pleural effusion. Methods The clinical data of 31 patients with hepatic hydrothorax admitted from January 2001 to December 2005 in our hospital were retrospectively analyzed. Results 20 cases of pleural effusion disappeared, 7 cases of pleural effusion reduced efficiency 87.1%; died of upper gastrointestinal bleeding, hepatorenal syndrome, septic shock in 4 cases, the mortality rate was 12.9%. Conclusions The prognosis of patients with hepatic hydrothorax is poor, and the diagnostic level should be raised to reduce the misdiagnosis, individualized treatment options, and focus on the treatment of primary disease.