Seriff N S, Cohen M L, Samuel P, Schulster P L
Thorax. 1977 Feb;32(1):98-100. doi: 10.1136/thx.32.1.98.
This report describes a 31-year-old woman who underwent a technically difficult left pneumonectomy for tuberculosis and developed thereafter a large left pleural effusion which was milky in colour. A traumatic chylothorax was suspected, and the diagnosis was confirmed by simultaneous fasting pleural and serum lipid studies and lipoprotein electrophoresis. The latter study was especially helpful in confirming the chylous nature of the fluid in that it revealed a marked chylomicron band at the origin; this was not present in the patient's serum nor in the pleural fluid of five patients with other disease states studied as controls.
本报告描述了一名31岁女性，她因肺结核接受了技术难度较大的左肺切除术，术后出现大量左侧胸腔积液，积液呈乳白色。怀疑为外伤性乳糜胸，通过同时进行空腹胸腔和血清脂质研究以及脂蛋白电泳确诊。后一项研究在确认液体的乳糜性质方面特别有帮助，因为它在起始处显示出明显的乳糜微粒带；在该患者的血清中以及作为对照研究的其他疾病状态的5名患者的胸腔积液中均未出现这种情况。
