门静脉高压并发胸腔积液226例临床分析

Clinical analysis of 226 patients with portal hypertension complicated with pleural effusion

为研究门静脉高压并发胸、腹水之间关系、性质、以及产生机理，提高对肝脏疾病肺部表现的认识，总结 ２２６例肝硬化失代偿期——门静脉高压并发胸腔积液患者的临床资料。结果提示，往往先产生腹水，后并发胸水， 有些病例只有胸水，而无腹水，胸、腹水的性质均为漏出液，治疗上除采取综合治疗外，还可选用胸腔放液后，胸腔 内注射地塞米松和高聚金葡素等治疗。

To study the feature, pathogenesis of pleural effusion and ascites and the relations between them and to deepen the understanding of liner disease manifestation in lungs, 226 patients with liver cirrhosis in uncompensated stage were summed up from clinical material. The results show that some patients develop ascites followed by pleural effusion and some patients develop pleural effusion only and both pleural effusion and ascites are transudation. Except for Complex treatment, the method of intrathoracic injection of dexamethasone and highly agglutinatiue stathylococcin was used after thoracic drainage.