肝性胸水系指肝脏疾病并发胸腔积液。细菌性肝脓肿、阿米巴性肝脓肿均可出现胸腔积液,急性病毒性肝炎有时亦可并发胸腔积液,最为常见的是肝硬化并胸腔积液,故有人把肝硬化性胸腔积液称为肝性胸水。现结合我们收治的24例和有关文献,对肝性胸水的诊治作一概述。 一、诊断 胸水的主要表现是呼吸困难,其严重程度与胸水多少有关。中等量以上的胸腔积液患者可有明显体征,个别有腔静脉回流受阻的表现。胸水多发生于右侧。肝性胸水见于肝硬化失代偿期,一旦出现,肝硬化症状加重,谷丙转氨酶增高,白、球蛋自比例倒置,蛋白电泳γ球蛋白增高。并发肝昏迷、上消化道出血及脾功能亢进时,则可出现相应 Hepatic pleural effusion refers to liver disease complicated by pleural effusion. Bacterial liver abscess, amebic liver abscess can be pleural effusion, acute viral hepatitis can sometimes be complicated by pleural effusion, the most common is cirrhosis and pleural effusion, it was the liver cirrhosis pleural effusion Called hepatic pleural effusion. Are combined with our treatment of 24 cases and the relevant literature, diagnosis and treatment of hepatic hydrothorax for an overview. First, the diagnosis of pleural effusion is the main manifestation of dyspnea, the severity of pleural effusion and how much. Moderate volume of pleural effusion in patients with obvious signs, individual vena caval flow blocked performance. Pleural effusion occurred in the right side. Hepatic pleural effusion is found in decompensated liver cirrhosis, once there, liver cirrhosis symptoms aggravated, alanine aminotransferase increased, white, egg self-proportional inversion, protein electrophoresis gamma globulin increased. Concurrent hepatic coma, upper gastrointestinal bleeding and hypersplenism, may appear corresponding