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目的:观察肝性胸水患者的临床特点。方法:对29例肝性胸水患者的临床资料进行回顾性分析。结果:临床表现主要为胸闷、气促44.8%,呼吸困难13.8%,无明显症状40.2%,胸水位于右侧21例(72%),左侧1例(3.4%),双侧7例(24.1%),大量胸水15例(51.7%),中等量胸水5例(17.2%),少量胸水9例(31.0%)。28例伴不同程度的腹水,单纯性胸水1例。胸水检查24例(82.8%)为漏出液,5例(17.2)为渗出液。抗酸杆菌、脱落细胞学检查均为阴性,经治疗胸水完全消退或明显减少26例,3例死亡。结论:肝性胸水是肝硬化较少见的并发症,多发生于右侧。
Objective: To observe the clinical features of patients with hepatic pleural effusion. Methods: The clinical data of 29 patients with hepatic hydrothorax were analyzed retrospectively. Results: The main clinical manifestations were chest tightness, 44.8%, dyspnea 13.8%, no obvious symptoms 40.2%, pleural effusion 21 cases (72%) on the right side, 1 case %), Pleural effusion in 15 cases (51.7%), moderate pleural effusion in 5 cases (17.2%), and a small amount of pleural effusion in 9 cases (31.0%). 28 cases with varying degrees of ascites, simple pleural effusion in 1 case. Pleural effusion in 24 cases (82.8%) as leakage, 5 cases (17.2) as exudate. Acid-fast bacilli, cytology were negative, after treatment of pleural effusion subsided or significantly reduced 26 cases, 3 patients died. Conclusions: Hepatic pleural effusion is a rare complication of cirrhosis and occurs mostly on the right side.