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Vol. 13. Issue 3.
Pages 147-149 (July - September 1977)
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Vol. 13. Issue 3.
Pages 147-149 (July - September 1977)
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Los derrames pleurales en la cirrosis hepatica
Pleural effusionsin hepatic cirrhosis
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M. Pallarés, I. Blajot, M. Bruguera, J. Rodés
Unidad de Hepatología y Servicio de Radiología. Hospital Clínico y Provincial. Barcelona
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Resumen

En la revisión retrospectiva de las radiografías de tórax efectuadas en 96 pacientes consecutivos con cirrosis hepática admitidos en un servicio de Hepatología, se comprobó la existencia de derrame pleural en el 20% de los mismos. En la mayoría de casos las características del derrame eran propias de un trasudado y se consideró que era debido al paso de líquido ascítico a la cavidad pleural. En 3 casos el líquido era un exudado y fue debido a una causa distinta de la cirrosis hepática. Otros cambios radiológicos observados con frecuencia variable, fueron atelectasias laminares y elevación diafragmática.

Summary

In a retrospective review of the radiographies of the thorax made for 96 consecutive patients with hepatic cirrhosis admitted to the Hepatology Department, the existence of pleural effusion in 20% of the same was verified. In the majority of the cases, the characteristics of the effusion were those corresponding to transudate and it was considered to be due to the pass of ascitic liquid to the pleural cavity. In 3 cases the liquid was an exudate and was due to a cause other than hepatic cirrhosis. Other radiological changes observed with variable frequency, were laminar atelectasis and diaphragmatic elevation.

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Bibliografia
[1.]
G. Higgins, A.R. Kelsall, J.R.P. O’Brien, A.M. Stewart, L.J. Witts.
Ascites in chronic disease of the liver.
Quart. J. Med., 16 (1947), pp. 263
[2.]
W.J. Eisenmenger.
Edema associated with liver disease, in Edema.
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Copyright © 1977. Sociedad Española de Neumología y Cirugía Torácica
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