12 例非創傷性乳糜胸診治總結_《中國呼吸與危重監護雜志》

作者：

陳聆 , 李敏 , 萬歡英

上海交通大學附屬瑞金醫院呼吸科( 上海 200025);

關鍵詞：

非創傷性乳糜胸診治

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乳糜胸是指各種原因造成的乳糜液漏入胸膜腔。慢性起病, 常表現為胸悶、氣促、咳嗽等不適, 急性大量的乳糜液流失可導致水電解質紊亂、低蛋白血癥、機體免疫功能下降
或呼吸循環系統衰竭等威脅生命的嚴重病理狀態。乳糜胸病因分為創傷性及非創傷性。創傷性乳糜胸常發生于外傷或術后, 非創傷性乳糜胸病因復雜, 臨床上常易漏診或誤診。
本文回顧總結我院近9 年收治12 例非創傷性乳糜胸患者的診治經驗, 總結對乳糜胸的病因鑒別與治療認識。

引用本文： 陳聆,李敏,萬歡英. 12 例非創傷性乳糜胸診治總結. 中國呼吸與危重監護雜志, 2010, 9(3): 320-321. doi: 復制

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, 李三龍, 等. 銀屑病患者并發乳糜胸的病因探討.中華內科雜志, 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. 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, 李三龍, 等. 銀屑病患者并發乳糜胸的病因探討.中華內科雜志, 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 .

《中國呼吸與危重監護雜志》

12 例非創傷性乳糜胸診治總結

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《中國呼吸與危重監護雜志》

12 例非創傷性乳糜胸診治總結

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