Ishida O, Tamura K, Uchida H, Kuroda C
Lymphology. 1979 Mar;12(1):26-8.
Lymphographic studies were made on diseases of protein-losing in 19 cases, which include 9 cases of diseases of the digestive canal, 2 cases of constrictive pericarditis, and 8 cases of protein-losing enteropathy. Lymphographically in the diseases of the digestive canal no abnormal findings were detected, but in the constrictive pericarditis remarkable dilation and kinking of the thoracic duct with relatively poor congestion of the lumbar lymphatic vessels were observed. In the intestinal lymphangiectasia dysplasia of the lymphatics, passage disturbance of the thoracic duct with the congestive lumbar lymphatics, reflux to abdominal organs, oozing of contrast medium into the intestinal lumen were disclosed. Also experimentally lymphographic studies in thoracic duct-ligated dogs revealed the reflux to the mesenterial lymphatic system causing protein-losing into the intestine.
对19例蛋白质丢失性疾病进行了淋巴管造影研究，其中包括9例消化道疾病、2例缩窄性心包炎和8例蛋白质丢失性肠病。在消化道疾病的淋巴管造影中未发现异常，但在缩窄性心包炎中观察到胸导管明显扩张和扭曲，腰淋巴管充血相对较差。在肠道淋巴管扩张症中，发现淋巴管发育异常、胸导管通道障碍伴腰淋巴管充血、造影剂反流至腹部器官、造影剂渗入肠腔。此外，对胸导管结扎犬的实验性淋巴管造影研究显示，造影剂反流至肠系膜淋巴系统导致蛋白质丢失到肠道。
