12 例非创伤性乳糜胸诊治总结_Chinese Journal of Respiratory and Critical Care Medicine

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陈聆 , 李敏 , 万欢英

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Keywords：

非创伤性; 乳糜胸; 诊治

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乳糜胸是指各种原因造成的乳糜液漏入胸膜腔。慢性起病, 常表现为胸闷、气促、咳嗽等不适, 急性大量的乳糜液流失可导致水电解质紊乱、低蛋白血症、机体免疫功能下降
或呼吸循环系统衰竭等威胁生命的严重病理状态。乳糜胸病因分为创伤性及非创伤性。创伤性乳糜胸常发生于外伤或术后, 非创伤性乳糜胸病因复杂, 临床上常易漏诊或误诊。
本文回顾总结我院近9 年收治12 例非创伤性乳糜胸患者的诊治经验, 总结对乳糜胸的病因鉴别与治疗认识。

Citation： 陈聆,李敏,万欢英. 12 例非创伤性乳糜胸诊治总结. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(3): 320-321. doi: Copy

1.	Agrawal V, Sahn SA. Lipid pleural effusions. Am J Med Sci, 2008 ,335: 16-20.
2.	Narayan P, Rahaman N, Molnar TF, et al. Chylothorax following cardiac surgery caused by unusual lymphatic anatomy. Asian Cardiovasc Thorac Ann, 2007, 15 : e58 -e59 .
3.	Townshend AP, Speake W, Brooks A. Chylothorax. Emerg Med J,2007, 24: e11.
4.	Takami A, Fujimura M, Nakao S, et al. A case of chylothorax resulting from malignant lymphoma--pathogenesis of chylothorax: a new concept. Nihon Kyobu Shikkan Gakkai Zasshi, 1993, 31: 112-116.
5.	肖彩云, 杨强, 李三龙, 等. 银屑病患者并发乳糜胸的病因探讨.中华内科杂志, 1994, 33: 320-321 .
6.	Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg, 2007, 32: 362-369.
7.	Benedix F, Lippert H, Meyer F. Post-surgical lymphocutaneous fistula, chylous ascites and chylothorax--infrequent but serious complications: etiology, diagnosis and therapeutic options. Zentralbl Chir, 2007, 132: 529-538.
8.	Barili F, Polvani G, Topkara VK, et al. Administration of for management of postoperative high-flow chylothorax. Ann Vasc Surg,2007, 21: 90 -92 .
9.	Roehr CC, Jung A, ProquittéH, et al. Somatostatin or octreotide as treatment options for chylothorax in young children: a systematic review. Intensive Care Med, 2006, 32 : 650-657.
10.	Altuncu E, Akman I, Kiyan G, et al. Report of three cases:congenital chylothorax and treatment modalities. Turk J Pediatr,2007, 49: 418-421 .
11.	Nygaard U, Sundberg K, Nielsen HS, et al. New treatment of early fetal chylothorax. Obstet Gynecol, 2007, 109: 1088 -1092 .

1. Agrawal V, Sahn SA. Lipid pleural effusions. Am J Med Sci, 2008 ,335: 16-20.
2. Narayan P, Rahaman N, Molnar TF, et al. Chylothorax following cardiac surgery caused by unusual lymphatic anatomy. Asian Cardiovasc Thorac Ann, 2007, 15 : e58 -e59 .
3. Townshend AP, Speake W, Brooks A. Chylothorax. Emerg Med J,2007, 24: e11.
4. Takami A, Fujimura M, Nakao S, et al. A case of chylothorax resulting from malignant lymphoma--pathogenesis of chylothorax: a new concept. Nihon Kyobu Shikkan Gakkai Zasshi, 1993, 31: 112-116.
5. 肖彩云, 杨强, 李三龙, 等. 银屑病患者并发乳糜胸的病因探讨.中华内科杂志, 1994, 33: 320-321 .
6. Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg, 2007, 32: 362-369.
7. Benedix F, Lippert H, Meyer F. Post-surgical lymphocutaneous fistula, chylous ascites and chylothorax--infrequent but serious complications: etiology, diagnosis and therapeutic options. Zentralbl Chir, 2007, 132: 529-538.
8. Barili F, Polvani G, Topkara VK, et al. Administration of for management of postoperative high-flow chylothorax. Ann Vasc Surg,2007, 21: 90 -92 .
9. Roehr CC, Jung A, ProquittéH, et al. Somatostatin or octreotide as treatment options for chylothorax in young children: a systematic review. Intensive Care Med, 2006, 32 : 650-657.
10. Altuncu E, Akman I, Kiyan G, et al. Report of three cases:congenital chylothorax and treatment modalities. Turk J Pediatr,2007, 49: 418-421 .
11. Nygaard U, Sundberg K, Nielsen HS, et al. New treatment of early fetal chylothorax. Obstet Gynecol, 2007, 109: 1088 -1092 .

Chinese Journal of Respiratory and Critical Care Medicine

12 例非创伤性乳糜胸诊治总结

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