Oosterbosch L, Leloup A, Verstraeten P, Jordens P
Afdeling Pneumologie, O.-L.-Vrouwziekenhuis, Aalst, Belgium.
Acta Clin Belg. 1995;50(1):20-4. doi: 10.1080/17843286.1995.11718415.
Chyle is a fluid rich in triglycerides and is characterized by the presence of chylomicrons. Chylous effusions are unusual complications of malignant neoplasms, usually lymphomas. The combination of chyloperitoneum and chylothorax is very rare. When abdominal lymphatics are obstructed, chylous ascites results and eventually leads to a chylothorax. We present the case of a 68-year-old woman with a chyloperitoneum and a right-sided chylothorax due to an underlying malignant B-cell lymphoma. After thoracocentesis and replacement therapy with medium chain triglycerides, she was treated with a combination of cyclophosphamide, vincristine and prednisone. This has resulted in a regression of the chylous effusions. A short review of the literature describes causes, diagnosis and therapy of chylous effusions.
乳糜是一种富含甘油三酯的液体，其特征是存在乳糜微粒。乳糜性积液是恶性肿瘤（通常为淋巴瘤）的罕见并发症。乳糜腹和乳糜胸同时出现的情况非常罕见。当腹部淋巴管受阻时，会导致乳糜性腹水，最终引发乳糜胸。我们报告一例68岁女性因潜在的恶性B细胞淋巴瘤导致乳糜腹和右侧乳糜胸的病例。胸腔穿刺及中链甘油三酯替代治疗后，她接受了环磷酰胺、长春新碱和泼尼松联合治疗。这使得乳糜性积液消退。对文献的简要回顾描述了乳糜性积液的病因、诊断和治疗。
