漏出性乳糜胸：一种病因常见但并不常见的疾病。
Transudative chylothorax: an uncommon illness due to a common cause.
作者信息
Mukherjee Arindam, Sehgal Inderpaul Singh, Mittal Bhagwant Rai, Dhooria Sahajal
机构信息
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
BMJ Case Rep. 2018 Feb 7;2018:bcr-2017-223158. doi: 10.1136/bcr-2017-223158.
Abstract
Chylothorax is defined as presence of chyle in the pleural space. It is commonly associated with cardiothoracic surgery, trauma, malignancy or some benign disorders. Transudative chylothorax is uncommon. A 52-year-old man presented with bilateral chylothorax with preceding history of blunt trauma to the chest. On further evaluation, he was diagnosed to have a transudative chylothorax due to cirrhosis of liver with coexisting chylous ascites and evidence of peritoneopleural communication. The patient was managed with diuretics followed by chemical pleurodesis with iodopovidone.
摘要
乳糜胸定义为胸腔内存在乳糜。它通常与心胸外科手术、创伤、恶性肿瘤或一些良性疾病有关。漏出性乳糜胸并不常见。一名52岁男性因胸部钝性创伤史出现双侧乳糜胸。进一步评估后，他被诊断为因肝硬化合并乳糜性腹水及存在腹膜胸膜交通而导致的漏出性乳糜胸。该患者先接受利尿剂治疗，随后用碘伏进行化学性胸膜固定术。
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