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咳嗽可能导致自发性乳糜胸和乳糜性腹水。

Coughing may lead to spontaneous chylothorax and chylous ascites.

作者信息

Adas Gokhan, Karatepe Oguzhan, Battal Muharrem, Dogan Yasar, Karyagar Savas, Kutlu Asim

机构信息

Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey.

出版信息

Case Rep Gastroenterol. 2007 Dec 31;1(1):178-83. doi: 10.1159/000108950.

DOI:10.1159/000108950
PMID:21487566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3073808/
Abstract

Chylous ascites is a rare form of ascites resulting from the accumulation of lymph in the abdominal cavity. It is due to an interruption in the lymphatic system. Surgical management is indicated in cases of recurrence or failure after conservative treatment. We report a case of spontaneous chylous peritonitis after chylothorax, which is a rare clinical event. The primary reason was unclear and the outcome of medical and surgical treatment was successful.

摘要

乳糜性腹水是一种罕见的腹水形式,由腹腔内淋巴液积聚所致。它是由于淋巴系统中断引起的。对于保守治疗后复发或无效的病例,建议采取手术治疗。我们报告一例乳糜胸后发生自发性乳糜性腹膜炎的病例,这是一种罕见的临床事件。主要病因不明,药物和手术治疗均取得成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/3926528ba8a8/crg0001-0178-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/eb9ed077a59b/crg0001-0178-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/e540711140be/crg0001-0178-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/3926528ba8a8/crg0001-0178-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/eb9ed077a59b/crg0001-0178-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/e540711140be/crg0001-0178-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6172/3073808/3926528ba8a8/crg0001-0178-f03.jpg

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本文引用的文献

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Spontaneous chylous peritonitis mimicking acute appendicitis: a case report and review of literature.酷似急性阑尾炎的自发性乳糜性腹膜炎:一例报告并文献复习
World J Gastroenterol. 2006 Jan 7;12(1):154-6. doi: 10.3748/wjg.v12.i1.154.
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Lymphomas and chylous ascites: review of the literature.淋巴瘤与乳糜性腹水:文献综述
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A case of Noonan's syndrome with anomalous lymphorenal communication.一例伴有异常淋巴-肾交通的努南综合征病例。
JRSM Short Rep. 2011 Apr 18;2(4):33. doi: 10.1258/shorts.2011.010102.
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Chylous ascites: treated with total parenteral nutrition and somatostatin.乳糜性腹水:采用全胃肠外营养和生长抑素治疗。
World J Gastroenterol. 2004 Sep 1;10(17):2588-91. doi: 10.3748/wjg.v10.i17.2588.
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Pathophysiology, diagnosis and treatment of ascites in cirrhosis.肝硬化腹水的病理生理学、诊断与治疗
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