Brook M P, Dupree D W
Department of Emergency Medicine, University of Southern California School of Medicine 90033.
Ann Emerg Med. 1988 Jan;17(1):69-72. doi: 10.1016/s0196-0644(88)80508-0.
We report the case of a 27-year-old man with bilateral chylothorax. The patient presented with shortness of breath and bilateral pleural effusions three days after a motor vehicle accident. The diagnosis was established when tube thoracostomy revealed chylous drainage. During hospitalization approximately 8 L of chyle were removed. Bilateral chylothorax secondary to blunt trauma has rarely been reported. The etiology, pathogenesis, clinical presentation, and recommended therapy are reviewed.
我们报告一例27岁双侧乳糜胸男性患者。该患者在机动车事故三天后出现呼吸急促和双侧胸腔积液。胸腔闭式引流显示乳糜样引流液时确诊。住院期间约引出8升乳糜液。钝性创伤继发双侧乳糜胸鲜有报道。本文对其病因、发病机制、临床表现及推荐治疗方法进行了综述。