Evaluation of Chylothorax and Pseudochylothorax Accompanied by Current Literature

H. Tozum, T. S. Eren
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Abstract

Chylothorax is characterized by accumulation of the lymphatic fluid between pleural leaves, although the occurrence is rare, serious metabolic and immunologic disorders that can lead to a significant clinical problem. It is a strong evidence for the diagnosis of chylothorax in individuals of fed a normal diet when the milk-like pleural fluid (chylous) is detected. Chylous liquid was described in 1633 for the first time by Bartole (1) and ongoing process many etiological reasons revealed. Etiological reasons can be collected simply traumatic and non-traumatic causes as a two main topic. The real reason in the formation of Chylothorax is lymphatic ductus stenting integrity degredation or obstruction through any mechanism (2) . In terms of continuous losing fat-soluble vitamins, metabolites, water, and electrolytes are rich lymphatic fluid, can be an important cause of morbidity and mortality especially in children and people with other diseases. In this case, treatment should be initiated as soon as when the diagnosed. But, still the most appropriate treatment of chylothorax is debatable (3)
乳糜胸和假性乳糜胸的评价并附文献
乳糜胸以胸膜叶间淋巴积液为特征,虽然罕见,但严重的代谢和免疫紊乱可导致显著的临床问题。当发现乳糜样胸膜液时,对于正常饮食的人诊断乳糜胸是一个强有力的证据。乳糜液于1633年由Bartole(1)首次描述,并在此过程中揭示了许多病因。病因可以简单地归纳为创伤性原因和非创伤性原因两大类。乳糜胸形成的真正原因是淋巴管支架完整性退化或通过任何机制阻塞(2)。就脂溶性维生素、代谢物、水和电解质等丰富的淋巴液而言,可成为发病和死亡的重要原因,尤其是儿童和患有其他疾病的人。在这种情况下,应在确诊后立即开始治疗。但是,乳糜胸最合适的治疗方法仍然存在争议(3)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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