Ropponen Jussi, Sihvo Eero, Kauppi Juha, Räsänen Jari, Salo Jarmo
HUS, Meilahden sairaala, sydän- ja thoraxkirurgian klinikka, yleisthorax- ja ruokatorvikirurgian yksikkö PL 340, 00290 HUS.
Duodecim. 2010;126(16):1913-9.
In chylothorax, chyle has accumulated into the pleural clarity. Chylothorax is a fairly rare finding, most commonly arising after procedures within the thoracic cavity. Suspicion of chylothorax is based on anamnesis and clinical picture, with chest radiograph and pleural fluid puncture as the basic tests. Treatment should be started immediately after a confirmed diagnosis. In the early stages it is vital that the production of chyle is minimized and the fluid is drained. If the conservative treatment fails, surgery is recommended
在乳糜胸患者中,乳糜液积聚于胸膜腔。乳糜胸是一种相当罕见的病症,最常见于胸腔内手术后。对乳糜胸的怀疑基于病史和临床表现,胸部X光片和胸腔穿刺术是基本检查手段。确诊后应立即开始治疗。在早期,至关重要的是尽量减少乳糜液的产生并引流液体。如果保守治疗失败,则建议进行手术。