肝硬化失代偿期合并肝性胸水30例临床观察

Clinical Investigation on Decompensate Cirrhosis with Hepatic Hydrothorax in 30 Cases

目的探讨肝硬化失代偿期合并肝性胸水患者的临床特点。方法回顾性分析失代偿期肝硬化并发胸水30例病人的临床资料。结果肝性胸水临床表现主要为胸闷、气促、胸痛、呼吸困难、咳嗽和不明原因低热。胸水位于右侧24例(80.0%),左侧4例(13.3%),双侧2例(6.7%)。中、大量胸水27例,少量胸水3例,所有病例皆合并腹水。胸水检查多为漏出液。大部分患者通过积极治疗胸水可以消失,主要死因为肝硬化的并发症。结论肝硬化失代偿期合并肝性胸水的预后取决于肝硬化失代偿的严重程度,及其他并发症的有无、轻重等,故对于肝硬化失代偿期合并肝性胸水患者提倡及早诊断,综合治疗。

Objective To investigate the clinical features of decompensate cirrhosis patients with pleural effusion.Methods 30 cases of such patients were analyzed retrospectively.Results The clinical manifestations were： chest tightness,shortness of breath,chest pain,breathing difficulties,cough and fever of unknown causes.Pleural effusion on the right side in 24 patients（80.0%）,left in 4 cases（13.3%）,bilateral in 2 cases（6.7%）,in 27 cases of large pleural effusion,small pleural effusion in 3 cases,ascites in all cases.The mostly pleural effusion was transudate.Pleural effusion of most patients can disappear by active treatment,the main cause of death was complications of liver cirrhosis.Conclusion The prognosis of decompensate cirrhosis with pleural effusion depend on the severity of cirrhosis,whether have other complications and the severity,and so on.For decompensate cirrhosis patients with hepatic hydrothorax need early diagnosis and comprehensive treatment.