de Menezes I C, Araújo e Sá G, Damião A, Telo M, Martins F M, Macedo M M
Serviço de Pediatria, Hospital de Santa Maria, Carnaxide.
Acta Med Port. 1990 Mar-Apr;3(2):119-21.
Chylopericardium is a rare from of pericardial effusion. A case of a ten-year-old female patient with a chylopericardium incidentally detected during a mild respiratory infection through cardiac enlargement at the chest X ray is reported. The techniques used to achieve this diagnosis are described, a special emphasis being put on the CT-scan and lymphangiography, which have not been used in such cases so far. These techniques provided very useful data which were determinant for the success of the proposed therapy. This and other cases reported in the paper indicate that the most common cause of primary chylopericardium is a mediastinal lymphangioma.
乳糜性心包积液是一种罕见的心包积液形式。本文报告了一例10岁女性患者,在轻度呼吸道感染期间通过胸部X线检查发现心脏增大,偶然诊断为乳糜性心包积液。文中描述了用于确诊的技术,特别强调了CT扫描和淋巴管造影,这两种技术此前尚未用于此类病例。这些技术提供了非常有用的数据,对所提议治疗的成功起到了决定性作用。本文报道的该病例及其他病例表明,原发性乳糜性心包积液最常见的病因是纵隔淋巴管瘤。