Higgins C B, Reinke R T
Radiology. 1976 May;119(2):409-13. doi: 10.1148/119.2.409.
The clinical and roentgenographic findings in 11 children were reviewed following development of a chylothorax after surgery for the management of congenital heart disease. The operative site in most cases was in proximity to the aortic isthmus. The pleural effusion was delayed in onset, reaccumulated rapidly after initial thoracentesis, and frequently recurred after apparent resolution. In most patients, widening of the mediastinum was noted prior to the appearance of the pleural effusion. Anatomical features of the thoracic duct and pathophysiologic concepts operative in chylothorax are reviewed and related to the clinical and roentgenographic characteristics of this entity.
对11例先天性心脏病手术后发生乳糜胸的患儿的临床及X线检查结果进行了回顾。多数病例的手术部位靠近主动脉峡部。胸腔积液起病延迟，首次胸腔穿刺后迅速再积聚，且在明显消退后常复发。多数患者在胸腔积液出现前可见纵隔增宽。本文回顾了胸导管的解剖特征及乳糜胸的病理生理概念，并将其与该疾病的临床及X线特征相关联。
