Bocquel V, Girard P, Fournel P, Vergnon J M
Service de Pneumologie, Hôpital Nord, Saint-Etienne.
Rev Mal Respir. 1997 Nov;14(5):395-6.
The authors describe a case of spontaneous chylothorax occurring in a 50-year-old woman after stretching exercises of the upper limbs. A positive diagnosis was made based on pleural aspirate and a biochemical study of the pleural liquid (triglycerides > 3 gm/l). The chylothorax is said to be spontaneous when detailed investigations are negative. The outcome was satisfactory with complete regression of the symptoms after pleural aspirate and a low diet in long chain triglycerides but the authors recall that treatment may be surgical in cases of multiple recurrence.
作者描述了一例50岁女性在进行上肢伸展运动后发生自发性乳糜胸的病例。根据胸腔穿刺抽吸物及胸腔积液的生化研究（甘油三酯>3克/升）做出了明确诊断。当详细检查结果为阴性时，乳糜胸被称为自发性的。胸腔穿刺抽吸及低长链甘油三酯饮食后症状完全消退，结果令人满意，但作者提醒，在多次复发的情况下可能需要手术治疗。
