University of Florida College of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Gainesville, FL, USA.
University of Florida College of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Gainesville, FL, USA.
Respir Med. 2019 Oct;157:7-13. doi: 10.1016/j.rmed.2019.08.014. Epub 2019 Aug 22.
A chylothorax, also known as chylous pleural effusion, is an uncommon cause of pleural effusion with a wide differential diagnosis characterized by the accumulation of bacteriostatic chyle in the pleural space. The pleural fluid will have either or both triglycerides >110 mg/dL and the presence of chylomicrons. It may be encountered following a surgical intervention, usually in the chest, or underlying disease process. Management of a chylothorax requires a multidisciplinary approach employing medical therapy and possibly surgical intervention for post-operative patients and patients who have failed medical therapy. In this review, we aim to discuss the anatomy, fluid characteristics, etiology, and approach to the diagnosis of a chylothorax.
乳糜胸，也称为乳糜性胸腔积液，是一种罕见的胸腔积液病因，具有广泛的鉴别诊断特征，表现为胸膜腔内抑菌性乳糜的积聚。胸腔积液中要么甘油三酯 >110mg/dL，要么存在乳糜微粒。它可能在胸部手术后或潜在疾病过程中发生。乳糜胸的治疗需要多学科方法，包括对手术后患者和药物治疗失败的患者采用药物治疗和可能的手术干预。在这篇综述中，我们旨在讨论乳糜胸的解剖、液体特征、病因和诊断方法。
