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目的探讨肝硬化并发肝性胸水的临床特点、发生机制及治疗。方法回顾分析2006年3月2009年3月收治的49例肝硬化并发肝性胸水患者的临床资料。结果肝性胸水的发生率为18.9%,多见于右侧(71.4%)。胸水性质多为漏出液(81.6%),但渗出液亦不少见(18.4%)。门脉高压和低蛋白血症是肝性胸水发生的重要原因。结论临床上肝硬化并发胸水并不少见,应高度重视,采取多种综合治疗方法可提高疗效。
Objective To investigate the clinical features, pathogenesis and treatment of hepatic cirrhosis complicated with hepatic hydrothorax. Methods The clinical data of 49 patients with liver cirrhosis complicated with pleural effusion admitted in March 2006 and March 2009 were retrospectively analyzed. Results The incidence of hepatic pleural effusion was 18.9%, more common in the right side (71.4%). Pleural effusion mostly leakage (81.6%), but exudate is not uncommon (18.4%). Portal hypertension and hypoproteinemia is an important cause of hepatic hydrothorax. Conclusions It is not uncommon for clinical patients with cirrhosis and pleural effusion to attach great importance to the use of various comprehensive treatment methods to improve the curative effect.