Program in Pediatric Pulmonary Medicine, University of Tennessee Health Science Center; Le Bonheur Children's Hospital; and St. Jude Children's Research Hospital, Memphis, Tennessee.
Pediatrics. 2014 Apr;133(4):722-33. doi: 10.1542/peds.2013-2072. Epub 2014 Mar 31.
Chylothorax, the accumulation of chyle in the pleural space, is a relatively rare cause of pleural effusion in children. It can cause significant respiratory morbidity, as well as lead to malnutrition and immunodeficiency. Thus, a chylothorax requires timely diagnosis and treatment. This review will first discuss the anatomy and physiology of the lymphatic system and discuss various causes that can lead to development of a chylothorax in infants and children. Then, methods of diagnosis and treatment will be reviewed. Finally, complications of chylothorax will be reviewed.
乳糜胸是乳糜液在胸膜腔积聚,是儿童胸腔积液相对少见的原因。它可导致严重的呼吸发病率,并导致营养不良和免疫功能低下。因此,乳糜胸需要及时诊断和治疗。本文首先讨论了淋巴系统的解剖和生理学,并讨论了各种可能导致婴儿和儿童发生乳糜胸的原因。然后,将回顾诊断和治疗方法。最后,将回顾乳糜胸的并发症。