Pop Carmen Monica, Gherasim Ruxandra M, Dumitraşcu Dan L
Pneumology Department, University of Medicine and Pharmacy Iuliu Hatieganu, Cluj-Napoca, Romania.
Rom J Gastroenterol. 2003 Dec;12(4):315-7.
Pleural effusion in patients with liver cirrhosis and intractable ascites is well known, but hepatic hydrothorax in the absence of ascites is a rare complication. We present the case of a 43-year old male, with a medical history of liver cirrhosis due to hepatitis C virus, who was admitted to the Pneumology Clinic for dyspnoea, worsening of general status and chronic asthenia. The pleural effusion, revealed on physical and laboratory examinations, persisted despite the therapy with diuretics and the frequent thoracocentesis. The thoracostomy followed by pleurodesis also failed. The pecularity of this case was the presence of refractory hydrothorax in the absence of ascites.
肝硬化合并顽固性腹水患者出现胸腔积液是众所周知的，但无腹水的肝性胸水是一种罕见的并发症。我们报告一例43岁男性病例，该患者有丙型肝炎病毒所致肝硬化病史，因呼吸困难、全身状况恶化和慢性乏力入住呼吸科门诊。体格检查和实验室检查发现有胸腔积液，尽管使用了利尿剂治疗并频繁进行胸腔穿刺抽液，但积液仍持续存在。胸腔造口术加胸膜固定术也失败了。该病例的特殊性在于无腹水却存在难治性胸水。
