Saissy J M, Atmani M, Dimou M, Drissi-Kamili N, Taobane H, Ducourau J P
Med Trop (Mars). 1985 Jul-Sep;45(3):309-12.
The authors report a case of superior vena cava thrombosis associated to a chylothorax during Behcet's disease. This thrombosis was revealed during an evolutive phase by dyspnea and a superior vena cava syndrome. Its course was favourable under a medical treatment associating: pleural drainage, parenteral feeding, corticotherapy and heparin therapy. Then the authors review the bibliography and recall the frequency, pathogenesis, clinic and treatment of this unusual complication of the Touraine's aphthosis. Such a complication appears paradoxically to present a favourable course.
作者报告了1例白塞病合并乳糜胸伴上腔静脉血栓形成的病例。该血栓形成在疾病进展期表现为呼吸困难和上腔静脉综合征。在采取胸腔引流、肠外营养、皮质激素治疗和肝素治疗的综合内科治疗下,病情转好。作者随后查阅了文献,并回顾了图赖讷口疮病这一罕见并发症的发生率、发病机制、临床症状及治疗方法。矛盾的是,这样一种并发症似乎预后良好。