Chen A, Ho Y S, Tu Y C, Tang H S, Cheng T C
Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
J Clin Gastroenterol. 1988 Dec;10(6):663-6. doi: 10.1097/00004836-198812000-00019.
A 56-year-old woman with a 2-year history of cirrhosis of the liver and frequent right pleural effusion was admitted with intractable shortness of breath. Chest x-ray examination showed marked pleural effusion of the right lung field with a shift of the mediastinum to the left. Ascites was not conspicuous. Except for the liver cirrhosis, there was no clinical evidence of other underlying diseases. The patient died with a relatively short course after hospitalization. At autopsy, an apparent bleb with 1-mm hole in the tendinous portion of the right diaphragm was noted. We suggest that the ascitic fluid directly crossed the diaphragmatic defect to the pleural cavity, which contributed to the hydrothorax. In this article we review the pertinent literature.
一名56岁女性，有2年肝硬化病史且频繁出现右侧胸腔积液，因顽固性气短入院。胸部X线检查显示右肺野有大量胸腔积液，纵隔向左移位。腹水不明显。除肝硬化外，无其他基础疾病的临床证据。患者住院后病程较短死亡。尸检时，在右膈肌腱部分发现一个明显的有1毫米孔洞的气泡。我们认为腹水直接通过膈肌缺损进入胸腔，这导致了胸腔积液。在本文中，我们回顾了相关文献。
