论文部分内容阅读
肝性胸水指肝硬化病人中无肺部或心脏原发疾病的大量胸水,几乎均发生在右侧,临床上多有明显腹水。肝性腹水的原因长期以来一直是人们探讨的问题。腹腔内注射空气、同位素或染料的研究表明,腹水能通过横膈肌腱的缺损进入胸腔。本文报道2例无明显腹水的肝性胸水,并提供一种快速的、非侵入性的诊断技术和处理方法。例1:女性,47岁,有酒精性肝硬化和复发性胰腺炎,因胃粘膜糜烂引起上消化道出血入院。
Hepatic pleural fluid refers to a large number of pleural effusion in patients with cirrhosis without pulmonary or primary heart disease, almost all occurred in the right side, clinically obvious ascites. The cause of hepatic ascites has long been a subject of discussion. Intraperitoneal injection of air, isotopes or dyes studies have shown that ascites through the diaphragmatic tendon defects into the chest. This article reports two cases of ascites without hepatic pleural effusion, and provides a rapid, non-invasive diagnostic techniques and treatment methods. Example 1: Female, 47 years old, with alcoholic cirrhosis and recurrent pancreatitis, upper gastrointestinal bleeding due to gastric mucosal erosion admitted.