Becx M C, van den Berg W, Bruggink E D, de Koning R W
Neth J Med. 1989 Feb;34(1-2):88-92.
Chronic pancreatitis, often with a pseudocyst, is a rare cause of a pleural exudate. A pancreatic pleural fistula is created, leading to a relapsing massive haemorrhagic pleural exudate with a very high amylase content. The diagnosis is confirmed by means of endoscopic retrograde pancreatography. Treatment is primarily conservative; surgical drainage is sometimes necessary. The prognosis is generally favourable. The case history of a young woman with this condition is presented.
慢性胰腺炎常伴有假性囊肿，是胸腔积液的罕见病因。可形成胰胸膜瘘，导致反复出现大量出血性胸腔积液，淀粉酶含量极高。通过内镜逆行胰胆管造影术确诊。治疗主要是保守治疗；有时需要手术引流。总体预后良好。本文介绍了一名患有这种疾病的年轻女性的病例。
