Pleural effusion in patients with liver cirrhosis is how so?

In cirrhotic patients with ascites with pleural effusion who see many, which were seen to the right, followed by bilateral, at least simply left chest, only effusion rarely without ascites. Hepatic no obvious symptoms of pleural effusion, pleural effusion can be a lot of serious breathing difficulties restrictive and may secondary pneumonia, atelectasis, pleurodesis so. Pleural effusion produced with the following factors : (a), hypoalbuminemia, lower colloid osmotic pressure, resulting in tissue fluid leakage. (2) As of portal hypertension, which azygos vein, semi-vein pressure increased. (3) increase the liver lymph flow resulting pleural lymphatic expansion, siltation and destruction, and the formation of lymph leak pleural effusion. (4) increased intra-abdominal pressure, the Department of phrenic tendon cable thinner, diaphragm forming holes, ascites can be leaking into the chest, clinical use and repair of diaphragmatic pleural fixation, pleural effusion may disappear.