论文部分内容阅读
肝硬化伴有胸水称为肝性胸水。我们于1978～1989年中收治失代偿性肝硬化307例,发现肝性胸水42例(占13.7％)。结合有关文献综合分析如下: 临床资料 42例肝性胸水均经典型症状、体征、肝功能、B型超声波(16例)、肝活检(6例)、钡餐证实食道静脉曲张确诊为肝硬化。血清HBsAg(39例)阳性。其中男34例,女8例。年龄15～73岁,以40～60岁居多。胸水发生在右侧胸腔者29例(69.0％),左侧者6例(12.9％),双侧者7例(16.7％),同时伴有腹水者39例。28例作胸腔穿刺术(胸
Cirrhosis with pleural effusion is called hepatic pleural effusion. We treated 307 patients with decompensated cirrhosis from 1978 to 1989 and found 42 cases of hepatic hydrothorax (13.7%). Combined with the relevant literature a comprehensive analysis is as follows: Clinical data 42 cases of hepatic pleural effusion were classic symptoms, signs, liver function, type B ultrasound (16 cases), liver biopsy (6 cases) confirmed by barium meal esophageal varices diagnosed as cirrhosis. Serum HBsAg (39 cases) were positive. There were 34 males and 8 females. Ages 15 to 73 years old, mostly 40 to 60 years old. Pleural effusion occurred in the right thoracic cavity in 29 patients (69.0%), left in 6 cases (12.9%), bilateral in 7 cases (16.7%), accompanied by ascites in 39 cases. 28 cases for thoracentesis (chest