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门脉性肝硬化(以下称肝硬化)的肝外表现甚多,由肝硬化并发肺不张的病例临床上并非少见,但常被忽略。本文总结曾在我院内科住院并最后诊断为肝硬化的370例者患中有胸片的106例,不加任何选择的阅读分析胸片,其中有肺不张26例,双侧者4例、左侧10例、右侧12例,线状9例、盘状17例,男性23例、女性3例,最大年龄57岁、最小36岁。26例均有腹水不等,其中大量9例,中等量7例,少量6例,可疑3例。脾肿大23例,3例触诊不满意。26例全部有不同程度的腹胀和膈肌抬高。有胸腔积液者6例,双侧少量3例、中等量1例、单侧少量1例、1例中等量积液中同时伴有对侧上肺结核病灶,但胸水为漏出液。现讨论如下:
There are many extrahepatic manifestations of portal cirrhosis (hereinafter referred to as cirrhosis). Cases of cirrhosis complicated with atelectasis are not uncommon in clinical practice, but are often overlooked. This article summarizes the hospital in our hospital and finally diagnosed as cirrhosis in 370 patients with chest X-ray in 106 cases without any choice of reading analysis of chest radiographs, including atelectasis in 26 cases, bilateral in 4 cases , Left 10 cases, right 12 cases, linear 9 cases, 17 cases of disc, 23 males and 3 females, the maximum age of 57 years, minimum 36 years old. 26 cases had ascites, including a large number of 9 cases, 7 cases of moderate, a small amount of 6 cases, 3 cases of suspicious. 23 cases of splenomegaly, palpation in 3 cases were not satisfied. All 26 cases had varying degrees of bloating and diaphragm elevation. Pleural effusion in 6 cases, bilateral a small amount of 3 cases, moderate in 1 case, unilateral small amount in 1 case, 1 case of moderate volume effusion accompanied by contralateral pulmonary tuberculosis, but pleural effusion. Now discuss the following: