Pereira de Lima Ricardo José Brito, Nogueira Carla Cristina de Sousa, Sanchez Javier Porteiro, Tzer Maria Teresa Shiang, Rola Maria Manuela Queirós
Centro Hospitalar de Vila nova de Gaia / Espinho EPE.
Rev Port Pneumol. 2009 May-Jun;15(3):521-7.
Chylothorax is the occurrence of lymph in the pleura due to damage or obstruction of the thoracic duct. High content of triglycerides and the presence of chylomicrons make the diagnosis of chylothorax. Its aetiology can be divided in traumatic and non-traumatic. Traumatic rupture occurs after accidents or surgery. Within non-traumatic aetiology, lymphoma is the most common and in the presence of a chylothorax of unknown origin this should be the first suspicion, being non-Hodgkin type the most frequent. The authors present a case report of a patient with chylothorax due to non-Hodgkin lymphoma, discuss the particularities of chylothorax as well as the investigation and its treatment options.
乳糜胸是由于胸导管损伤或阻塞导致胸膜腔内出现淋巴液。甘油三酯含量高以及存在乳糜微粒有助于乳糜胸的诊断。其病因可分为创伤性和非创伤性。创伤性破裂发生在事故或手术后。在非创伤性病因中，淋巴瘤最为常见，对于不明原因的乳糜胸，应首先怀疑淋巴瘤，其中非霍奇金型最为常见。作者报告了一例因非霍奇金淋巴瘤导致乳糜胸的病例，讨论了乳糜胸的特点以及相关检查和治疗方案。
