乳糜性胸腔积气伴乳糜性心包积液，罕见病例并文献复习。

Chyloptysis with chylopericardium, a rare case and mini-review.

机构信息

Department of Respiratory Medicine, PutuoHospital, Shanghai University of Traditional Chinese Medicine, Shanghai, No.164, LanXi Road, Shanghai, 200062, China.

出版信息

BMC Pulm Med. 2018 Jan 29;18(1):21. doi: 10.1186/s12890-018-0583-y.

DOI:10.1186/s12890-018-0583-y

PMID:29375033

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5787927/

Abstract

BACKGROUND

Chyloptysis is reflux of chyle into the lungs and is a rare manifestation of primary chylous disorders.

CASE PRESENTATION

Over 29 months, on the basis of x-rays, a 33-year-old female was repeatedly misdiagnosed with recurrent right-sided pneumonia; her symptoms included a recurrent cough, the appearance of cheese-like sputum, and diffuse pulmonary exudates. There was a history that abundant fluid in the pericardium was confirmed with echocardiography to have been present and asymptomatic for 4 years. Lymphangiography and surgery confirmed that the terminal portion of the thoracic duct was compressed by thick fibrous tissue and the vascular sheath of the internal jugular vein. Chyloptysis caused by high peribronchial lymphatic pressure was diagnosed and surgical intervention relieved the symptoms.

CONCLUSION

Chyloptysis is rare and easy to misdiagnose but is a typical symptom of chylous reflux syndrome.

摘要

背景

乳糜痰是乳糜液反流进入肺部，是原发性乳糜液紊乱的罕见表现。

病例介绍

在 29 个月的时间里，基于 X 射线，一名 33 岁女性被反复误诊为复发性右侧肺炎；她的症状包括反复咳嗽、出现奶酪样痰和弥漫性肺渗出物。有一个病史，即超声心动图证实存在大量心包积液，且无症状已 4 年。淋巴管造影和手术证实，胸导管末端被厚纤维组织和颈内静脉血管鞘压迫。诊断为高支气管周围淋巴压力引起的乳糜痰，并通过手术干预缓解了症状。