Department of Internal Medicine, International Islamic University of Malaysia, Kuantan, Malaysia.
Respir Care. 2011 Dec;56(12):1953-5. doi: 10.4187/respcare.01207. Epub 2011 Jun 17.
Chylothorax is suspected when milky white turbid fluid is obtained from thoracocentesis. Conservative management usually involves intercostal tube drainage, dietary restriction, and total parenteral nutrition. Surgery is indicated when conservative management fails. We describe a young woman with idiopathic chylothorax who failed conservative therapy but refused surgery. We instilled intrapleural streptokinase, which improved her condition.
当胸腔穿刺获得乳白色混浊液体时，怀疑为乳糜胸。保守治疗通常包括肋间引流管、饮食限制和全胃肠外营养。当保守治疗失败时，手术是指征。我们描述了一例特发性乳糜胸的年轻女性，她对保守治疗无效，但拒绝手术。我们胸腔内注入链激酶，改善了她的病情。
