Smedts F, Kubat K, Chande H
Department of Pathology, University Hospital Nijmegen, The Netherlands.
Klin Wochenschr. 1989 Dec 4;67(23):1214-7. doi: 10.1007/BF01716209.
A 47-year-old woman with long-standing myelofibrosis and thrombocytosis whose spleen was removed 9 days prior to death, died of a heart tamponade. Subsequent autopsy revealed the development of chylothorax and chylopericardium due to the existence of a thrombus obstructing the ostium of the left thoracic duct, as a consequence of the particular location of a central venous catheter in the left subclavian vein in the proximity of the confluence of the left thoracic duct in the afore-mentioned vein.
一名47岁患有长期骨髓纤维化和血小板增多症的女性，在死亡前9天脾脏被切除，死于心脏压塞。随后的尸检显示，由于中心静脉导管在左锁骨下静脉的特定位置靠近左胸导管汇入上述静脉处，存在血栓阻塞左胸导管开口，从而导致乳糜胸和乳糜心包的形成。
