Debieuvre D, Gury J P, Ory J P, Jobard J M
Service de Pneumologie et Allergologie, Hôpital Paul Morel, Vesoul.
Rev Pneumol Clin. 1994;50(4):175-7.
The authors report a case of pseudochylothorax revealed by pleural tuberculosis. Classically, pseudochylothorax is a late complication of chronical and calcified pleurisy especially sequellae of tuberculosis treated by induced pneumothorax. Treatment consist on thoracentesis or aspiration with frequent remove. Surgical decortication can be useful. Specific chemotherapy is only necessary in the patients in whom tuberculosis is present or never treated with antibiotics.
作者报告了一例由胸膜结核引发的假性乳糜胸病例。经典的假性乳糜胸是慢性钙化性胸膜炎的晚期并发症,尤其是通过人工气胸治疗的结核后遗症。治疗方法包括胸腔穿刺或抽吸并频繁引流。手术剥脱术可能有效。仅在存在结核病或从未接受过抗生素治疗的患者中需要进行特异性化疗。