摘要
一例45岁男性患者以“胸腔积液原因待查”收入院,胸腔穿刺引流后胸水由黄色脓性转变为乳白色后又转变为淡黄色,完善检查最终诊断为结核性乳糜胸。予抗结核、暂禁食、引流胸水及肠外营养支持等治疗后患者症状缓解,定期随访病情稳定。本病例警示临床医师对于结核性胸腔积液的鉴别诊断,需考虑同时存在乳糜胸,应进一步完善乳糜实验。
A 45-year-old male patient was admitted to the hospital with"the cause of pleural effusion(to be explored)",and the pleural effusion transformed from yellow purulent to milky white to light yellow after thoracentesis and drainage.The diagnosis of tuberculous chylothorax was finally considered following the examinations.The patient's symptoms relieved after treatments such as anti-tuberculosis,temporary fasting,drainage of pleural fluid,and parenteral nutritional support,and the disease was stable during regular follow-up.This case warns clinicians that the differential diagnosis of tuberculous pleural effusion should consider the simultaneous presence of chylothorax,and the further exploration of chylothorax test should be performed.
作者
管媛
张程
GUAN Yuan;ZHANG Cheng(Guizhou Medcial University,Guiyang 550001,Guizhou,CHINA;Department of Respiratory and Critical Care Medicine,Guizhou Provincial People's Hospital,Guiyang 550001,Guizhou,CHINA)
出处
《海南医学》
CAS
2023年第2期272-274,共3页
Hainan Medical Journal
基金
中国医学科学院中央级公益性科研院所基本科研业务费项目(编号:2019PT320003)。
关键词
乳糜胸
胸腔积液
结核
诊断
治疗
Chylothorax
Pleural effusion
Tuberculosis
Diagnosis
Treatment