Kollef M H
Department of Medicine, Fitzsimons Army Medical Center, Aurora, CO 80045-5001.
Mil Med. 1993 Jan;158(1):63-5.
A patient with bilateral chylous effusions and chylous ascites resulting from mediastinal and periaortic radiation for Hodgkin's lymphoma is described. The chylothoraces were resistant to medical treatment as well as to surgical pleurectomy. The patient's medical condition worsened due to progression of the chylous effusions and an episode of catheter-related bacteremia complicated by respiratory failure requiring mechanical ventilation. While receiving mechanical ventilation, the patient was found to have hypothyroidism and was subsequently begun on thyroid hormone replacement therapy. Within 1 week, the chylous drainage from the pleural spaces dramatically decreased and eventually resolved. Eighteen months after beginning thyroid hormone replacement therapy, the patient continues to do well without recurrence of the chylous effusions.
本文描述了一名因霍奇金淋巴瘤接受纵隔和主动脉周围放疗后出现双侧乳糜性胸腔积液和乳糜性腹水的患者。乳糜胸对药物治疗和手术胸膜切除术均无反应。由于乳糜性胸腔积液进展以及导管相关菌血症发作并伴有呼吸衰竭需要机械通气，患者的病情恶化。在接受机械通气时，发现患者患有甲状腺功能减退症，随后开始进行甲状腺激素替代治疗。在1周内，胸腔的乳糜引流显著减少并最终消失。开始甲状腺激素替代治疗18个月后，患者情况良好，乳糜性胸腔积液未复发。
