Hillerdal G
Chest. 1985 Sep;88(3):426-8. doi: 10.1378/chest.88.3.426.
Chyliform pleural effusions are a little known occurrence only sparingly reported in the literature. At the lung department in Uppsala, Sweden, 11 cases have been seen the last few years. Typically, the exudate develops in a long-standing pleural thickening resulting from therapeutic pneumothorax many years earlier. The exudate contains a high level of cholesterol, probably breakdown products from blood cells. It is usually sterile, and only very rarely can one find tubercle bacilli growing from it. There is a tendency toward recurrence. If the patient benefits clinically from aspiration of the fluid, decortication is indicated.
乳糜样胸腔积液是一种鲜为人知的病症，在文献中仅有少量报道。在瑞典乌普萨拉的肺病科，过去几年间共发现了11例此类病例。典型情况是，渗出液在多年前因治疗性气胸导致的长期胸膜增厚中形成。渗出液含有高水平的胆固醇，可能是血细胞的分解产物。它通常无菌，极少能从中培养出结核杆菌。有复发倾向。如果患者通过胸腔积液抽吸在临床上获益，则建议进行胸膜剥脱术。
