Singer J A, Kaplan M M, Katz R L
Gastroenterology. 1977 Sep;73(3):575-7.
A 61-year-old female presented with a right transudative pleural effusion in the absence of ascites and other stigmata of chronic liver disease. A diagnosis of cirrhosis with a secondary hydrothorax was eventually established; however, ascites could never be demonstrated clinically or radiographically until just before her death, when hypertonic saline was administered for symptomatic hyponatremia. Based on the autopsy finding of a 1-mm hole in the right diaphragm and her clinical course, a mechanism for the production of a cirrhotic pleural effusion in the absence of asictes is proposed.
一名61岁女性出现右侧漏出性胸腔积液，无腹水及其他慢性肝病体征。最终确诊为肝硬化继发胸腔积液；然而，在她临死前因症状性低钠血症给予高渗盐水治疗时，临床及影像学检查才发现腹水。根据尸检发现右膈有一个1毫米的洞以及她的临床病程，提出了在无腹水情况下肝硬化性胸腔积液产生的机制。
