Yamaguchi H, Kawano K, Mukae H, Sakamoto A, Matsukura S
Division of Internal Medicine, Miyazaki Doctor's Hospital.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Feb;32(2):199-203.
A 73-year-old woman was referred to our hospital because of left pleural effusion. Chyle was obtained by thoracocentesis. Because there was no organic lesion to cause chylothorax, idiopathic chylothorax was diagnosed. Her condition improved by chest-tube drainage and pleurodesis with intrapleural injection of OK-432. We report a rare case of idiopathic chylothorax and conclude that pleurodesis with intrapleural injection of OK432 is very useful for the treatment of idiopathic chylothorax.
一名73岁女性因左侧胸腔积液转诊至我院。胸腔穿刺抽出了乳糜液。由于未发现导致乳糜胸的器质性病变，故诊断为特发性乳糜胸。通过胸腔闭式引流及胸腔内注射OK-432进行胸膜固定术，她的病情得到改善。我们报告一例罕见的特发性乳糜胸病例，并得出结论：胸腔内注射OK432进行胸膜固定术对特发性乳糜胸的治疗非常有效。
