• 上海交通大學(xué)附屬瑞金醫(yī)院呼吸科( 上海 200025);

乳糜胸是指各種原因造成的乳糜液漏入胸膜腔。慢性起病, 常表現(xiàn)為胸悶、氣促、咳嗽等不適, 急性大量的乳糜液流失可導(dǎo)致水電解質(zhì)紊亂、低蛋白血癥、機(jī)體免疫功能下降
或呼吸循環(huán)系統(tǒng)衰竭等威脅生命的嚴(yán)重病理狀態(tài)。乳糜胸病因分為創(chuàng)傷性及非創(chuàng)傷性。創(chuàng)傷性乳糜胸常發(fā)生于外傷或術(shù)后, 非創(chuàng)傷性乳糜胸病因復(fù)雜, 臨床上常易漏診或誤診。
本文回顧總結(jié)我院近9 年收治12 例非創(chuàng)傷性乳糜胸患者的診治經(jīng)驗(yàn), 總結(jié)對(duì)乳糜胸的病因鑒別與治療認(rèn)識(shí)。

引用本文： 陳聆,李敏,萬(wàn)歡英. 12 例非創(chuàng)傷性乳糜胸診治總結(jié). 中國(guó)呼吸與危重監(jiān)護(hù)雜志, 2010, 9(3): 320-321. doi: 復(fù)制

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, 楊強(qiáng), 李三龍, 等. 銀屑病患者并發(fā)乳糜胸的病因探討.中華內(nèi)科雜志, 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. 1. Agrawal V, Sahn SA. Lipid pleural effusions. Am J Med Sci, 2008 ,335: 16-20.
  2. 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. 3. Townshend AP, Speake W, Brooks A. Chylothorax. Emerg Med J,2007, 24: e11.
  4. 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. 5. 肖彩云, 楊強(qiáng), 李三龍, 等. 銀屑病患者并發(fā)乳糜胸的病因探討.中華內(nèi)科雜志, 1994, 33: 320-321 .
  6. 6. Nair SK, Petko M, Hayward MP. Aetiology and management of chylothorax in adults. Eur J Cardiothorac Surg, 2007, 32: 362-369.
  7. 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. 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. 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. 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. 11. Nygaard U, Sundberg K, Nielsen HS, et al. New treatment of early fetal chylothorax. Obstet Gynecol, 2007, 109: 1088 -1092 .