Garcia-Pachon Eduardo, Padilla-Navas Isabel
Section of Pneumology, Hospital General Universitario, ES-03203 Elche, Spain.
Respiration. 2004 Sep-Oct;71(5):533-6. doi: 10.1159/000080642.
Urinothorax is a rare cause of transudative pleural effusion secondary to obstructive uropathy. We present a case of urinothorax after shock wave lithotripsy and review the literature. A total of 53 cases have been described previously, and in a few of them, the biochemical characteristics of the pleural fluid were detailed. In general, patients with urinothorax have low pH and glucose levels, and their lactate dehydrogenase level can be very high, resulting in misclassification of the effusion as an exudate. The average pleural fluid to serum creatinine ratio reported in 12 cases was 9.15 (range 1.09-19.8).
尿胸是梗阻性肾病继发漏出性胸腔积液的罕见原因。我们报告1例冲击波碎石术后发生尿胸的病例并复习相关文献。此前共描述了53例病例，其中少数病例详细介绍了胸腔积液的生化特征。一般来说，尿胸患者的胸腔积液pH值和葡萄糖水平较低，乳酸脱氢酶水平可能非常高，导致积液被误诊为渗出液。12例报告的胸腔积液与血清肌酐比值平均为9.15（范围1.09 - 19.8）。
