Fujiseki Y, Katsura T, Goto M, Kawanishi K
J Cardiogr. 1982 Jun;12(2):553-8.
Chylopericardium is a rare disease and affects both sexes equally from neonate to adult. Usually, there are abnormal connections between the pericardial cavity and thoracic lymphatic systems. These connections are detected by (1) recovery of orally administered Sudan III from pericardial fluid, (2) evidence of radioactivity in the pericardial fluid by paracentesis after oral administration of 131I-labeled triolein, and (3) lymphangiography. However, these method are technically difficult and invasive, thus sometimes dangerous for children. We employed precordial pericardial imaging after oral administration of 131I-labeled triolein on a 9-year-old Japanese girl with isolated chylopericardium before and after surgery. Abnormal connections and the back-ward flow to the pulmonary lymphatics were demonstrated by this method. This is an easy, non-invasive, reliable and safe method for detecting the abnormal connections of pericardial and lymphatic systems in children with chylopericardium.
乳糜性心包炎是一种罕见疾病，从新生儿到成人，两性均可发病。通常，心包腔与胸段淋巴系统之间存在异常连接。这些连接可通过以下方式检测：（1）从心包积液中回收口服的苏丹III；（2）口服131I标记的三油酸甘油酯后通过心包穿刺术检测心包积液中的放射性；（3）淋巴管造影。然而，这些方法在技术上具有难度且具有侵入性，因此有时对儿童来说很危险。我们对一名9岁患有孤立性乳糜性心包炎的日本女孩在手术前后口服131I标记的三油酸甘油酯后进行了心前区心包成像。通过这种方法证实了异常连接以及向肺淋巴管的逆流。这是一种用于检测乳糜性心包炎患儿心包和淋巴系统异常连接的简便、非侵入性、可靠且安全的方法。
