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[乳糜胸]

[Chylothorax].

作者信息

Hvass Mikkel, Fransen Jens Lundby, Bruun Jens Meldgaard

出版信息

Ugeskr Laeger. 2017 Dec 18;179(51).

Abstract

Chylothorax is a rare condition caused by obstruction or disruption of the lymphatic branches draining the lower body and gastrointestinal tract. Chylothorax is characterized by the presence of lymphatic fluid with triglycerides and chylomicrons in the pleural cavity. The diagnosis is confirmed, when the level of triglycerides is above 1.24 mmol/l (i.e. 110 mg/dl). Aetiologically, chylothorax can be divided into traumatic or non-traumatic, and this separation is of pathophysiological importance, since the treatment should be individualized aiming at the underlying cause of the condition.

摘要

乳糜胸是一种罕见的病症,由引流下身和胃肠道的淋巴管分支阻塞或破裂引起。乳糜胸的特征是胸腔内存在含有甘油三酯和乳糜微粒的淋巴液。当甘油三酯水平高于1.24毫摩尔/升(即110毫克/分升)时,即可确诊。从病因学角度来看,乳糜胸可分为创伤性或非创伤性,这种区分具有病理生理学意义,因为治疗应针对该病症的潜在病因进行个体化。

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