Raza Mushahid, Matar Kevin
Department of Cardiothoracic Surgery, The Prince Charles Hospital, Australia.
Heart Lung Circ. 2009 Jun;18(3):229-32. doi: 10.1016/j.hlc.2007.12.004. Epub 2008 Mar 4.
Simultaneous idiopathic collection of chyle in the pericardial and pleural cavities is a rare phenomenon and to our knowledge it has been reported twice before [Torrington KG, Youkey JR. Simultaneous Idiopathic chylothorax and chylopericardium. South Med J 1981;74(March(3)):357-9; Kozielski J, Chylopericardium and chylothorax of unknown etiology. 1996]. There have been very few reported cases of chylopericardium presenting cardiac tamponade [Mehrotra S, Peeran NA, Bandyopadhyay A. Tex Heart Inst J 2006;33(2):249-53]. We report two cases of idiopathic pericardial and pleural effusions presenting cardiac tamponade resistant to conservative and surgical management.
特发性心包腔和胸腔同时出现乳糜液是一种罕见现象，据我们所知，此前仅有两次相关报道[托林顿·凯西、尤基·杰勒德。特发性乳糜胸和乳糜心包同时出现。《南方医学杂志》1981年；74（3月（3））：357 - 359；科齐尔斯基·杰，病因不明的乳糜心包和乳糜胸。1996年]。乳糜心包导致心脏压塞的报道病例极少[梅赫罗特拉·萨、皮兰·纳、班迪奥帕德哈亚·阿。《德克萨斯心脏研究所杂志》2006年；33（2）：249 - 253]。我们报告两例特发性心包和胸腔积液导致心脏压塞，对保守治疗和手术治疗均无效的病例。
