Freeze-dried powder injection thoracic Qingkailing injection treatment of refractory hepatic hydrothorax 2 cases of.docVIP

 PAGE \* MERGEFORMAT 9 Freeze-dried powder injection thoracic Qingkailing injection treatment of refractory hepatic hydrothorax 2 cases of [Keywords:] Qingkailing, pleural injection, refractory hepatic hydrothorax I have used freeze-dried powder injection thoracic Qingkailing injection treatment of refractory hepatic hydrothorax in 2 cases reported are summarized below. 1 Clinical data Case 1: The patient, male, 44 years old, enterprise cadres, Wuhan City, for a 5-year history of hepatitis B, September 24, 2004 to our hospital. Patients due to abdominal distention, chest tightness, shortness of breath, 1 month ago 3 city hospital for treatment, bilateral pleural effusion, to the right as the most important, have been used diuretic, hepatoprotective, intravenous albumin and antibiotics added, repeated pleural effusion and other conventional treatment methods pumping, chest pumping liquid each time more than 2000 mL , pumping additional pleural fluid after intravenous albumin 10 ~ 20 g, chest X-ray film were parallel, both in the pleural effusion within 2 ~ 3 d recovery rose to the level before pumping, even more than (pumping fluid level right before the 3rd rib level rose to No. 2 after the re-pumping rib level). is examination: chronic liver disease face, semi-recumbent position, a little shortness of breath, no cyanosis, breathing 23 times / min, heart rate 86 times / min, BP 120/80 mmHg, lymph nodes do not enlargement, spider angioma can be seen a few pieces of trunk, lungs breath sounds below the level of 3 ribs reduced or lost, real percussion sounds, abdominal shifting dullness. auxiliary examinations: chest X ray showed the following fact sheet 3 rib shadow, B- showed reduced liver volume, the surface was serrated like the spleen increased about 6 rib unit, portal vein diameter 1.3 cm. Liver function showed: TB 21 μmmol / L, ALT 31 U / L, ALB 34.8 g / L, five for the mini three hepatitis B Yang, anti-HCV (-), ESR 17 mm / h, a-fp (-), creatini