产后双侧乳糜胸：一例采用电视胸腔镜滑石粉胸膜固定术治疗的罕见病例
[Bilateral Chylothorax after delivery: an infrequent case treated with videothoracoscopic talc pleurodesis].
作者信息
Honguero Martínez Antonio F, Arnau Obrer Antonio, Pérez Alonso David, Estors Guerrero Miriam, Cortés Alcaide Carmen M, Cantó Armengod Antonio
机构信息
Servicio de Cirugía Torácica. Consorcio Hospital General Universitario de Valencia. Valencia. España.
出版信息
Cir Esp. 2006 Dec;80(6):400-2. doi: 10.1016/s0009-739x(06)70994-0.
Bilateral chylothorax after delivery is a highly infrequent entity. We present the case of a 28-year-old woman who developed progressive dyspnea due to bilateral milky pleural effusion several months after delivery. The effusion was found to contain chylomicrons in the biochemical analysis. Initial conservative treatment failed twice and the chylothorax was successfully treated through sequential bilateral videothoracoscopy with an interval of 6 days between the two interventions and pleurodesis with spray talc.
产后双侧乳糜胸是一种极为罕见的病症。我们报告一例28岁女性病例，该患者在产后数月因双侧乳糜性胸腔积液出现进行性呼吸困难。生化分析发现胸腔积液中含有乳糜微粒。初始保守治疗失败两次，通过序贯双侧电视胸腔镜手术成功治疗乳糜胸，两次手术间隔6天，并使用滑石粉喷雾进行胸膜固定术。
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