Hepatic hydrothorax: Pathogenesis, diagnosis, and management

被引:136
作者
Lazaridis, KN
Frank, JW
Krowka, MJ
Kamath, PS
机构
[1] Mayo Clin & Mayo Fdn, Div Gastroenterol & Hepatol, Dept Internal Med, Rochester, MN 55905 USA
[2] Univ Colorado, Hlth Sci Ctr, Dept Med, Div Gastroenterol, Denver, CO USA
[3] Mayo Clin & Mayo Fdn, Dept Internal Med, Div Pulm & Crit Care Med, Rochester, MN 55905 USA
关键词
D O I
10.1016/S0002-9343(99)00217-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hepatic hydrothorax is defined as a pleural effusion in a patient with cirrhosis of the liver and no cardiopulmonary disease. The estimated prevalence of this often debilitating complication in patients with liver cirrhosis is 4% to 10%. Its pathophysiology involves movement of ascitic fluid from the peritoneal cavity into the pleural space through diaphragmatic defects. As a result patients are at increased risk of respiratory infection. Initial management consists of sodium restriction, diuretics, and thoracentesis. A transjugular intrahepatic portosystemic shunt may be required. Because most patients with hepatic hydrothorax have end-stage liver disease, a liver transplant should be considered if these options fail. Am I Med. (C) 1999 by Excerpta Medica, Inc.
引用
收藏
页码:262 / 267
页数:6
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