乳糜胸

乳糜胸的临床诊断较为简单。从胸腔中抽出乳糜胸水,l其特征为外观呈乳白色,l比重>1.012,l细胞数400—6000/ml,l分类中淋巴细胞占80%左右,l三酰甘油为4—40g/L,l蛋白质2.2—5.9g/L,l乳糜试验阳性。胸水涂片或培养均找不到细菌。血中常伴有脂代谢紊乱(三酰甘油较高),l胸水中胆固醇含量相对较低。

引自i

Murphy1MC1et1a1.1989.Pleuroperitoneal1shunts1in1the1management1of1persistent1chylothorax.Ann1Thorac1Surg,l48(2):i195—200

Mckenna1MJ1et1a1.1991.Disturbances1in1lipid1metabolism1associated1with1chylothorax1and1its1management.Henry1Ford1Hosp1Med1J,l39(1):i49—51