Lai C L, Tsai T T, Ko S C, Yang K Y, Perng R P, Chen Y M
Chest Dept, Veterans General Hospital-Taipei, Taiwan, ROC.
Eur Respir J. 1997 Jul;10(7):1675-7. doi: 10.1183/09031936.97.10071675.
Pleural effusion is often a manifestation of the superior vena cava (SVC) syndrome. However, pleural effusion has never been reported to be a cause of the SVC syndrome. We report the case of a 68 yr old male patient who presented with SVC syndrome and respiratory failure, both attributable to an encapsulated pleural effusion over the right upper mediastinum. Simple drainage was performed as a diagnostic and therapeutic procedure. The pleural effusion was confirmed to be a tuberculous empyema. Chest computed tomography (CT) scan is the most appropriate initial diagnostic procedure for superior vena cava syndrome.
胸腔积液常是上腔静脉综合征的一种表现。然而，从未有报道称胸腔积液是上腔静脉综合征的病因。我们报告一例68岁男性患者，其出现上腔静脉综合征和呼吸衰竭，二者均归因于右上纵隔的包裹性胸腔积液。作为诊断和治疗措施进行了单纯引流。胸腔积液被确诊为结核性脓胸。胸部计算机断层扫描（CT）是诊断上腔静脉综合征最合适的初始诊断方法。
