文献詳細
特集 乳糜胸水・腹水を考える―その原因と対策
〔乳糜胸水・腹水をきたす疾患を理解する〕
文献概要
要旨:乳糜胸とは,腸壁より胸管に流入するカイロミクロンやリポプロテインを含んだ白濁したリンパ液が,いろいろな原因によって胸腔内に貯留した状態をいう.乳糜胸は比較的稀な疾患であるが,その原因として,外傷性,非外傷性,腫瘍性などがあり,病態の理解,診断に苦慮することが多い.そこで理解を深めるために,本稿では概念,原因,病態,診断,治療について概説する.
参考文献
1)Agrawal V, Sahn S:Lipid pleural effusions. Am J Med Sci 335:16-20, 2008
2)Bessone L, Ferguson T, Burford T:Chylothorax. Ann Thorac Surg 12:527-550, 1971
3)Light RW:Pleural Diseases, 5th ed. Philadelphia, Lippincott Williams & Wilkins, 2007, pp346-361
4)Doerr C, Allen M, Ryu J, et al:Etiology of chylothorax in 203 patients. Mayo Clin Proc 80:867-870, 2005
5)Valentine V, Raffin T:The management of chylothorax. Chest 102:586-591, 1992
6)Maloney JJ, Spencer F:The nonoperative treatment of traumatic chylothorax. Surgery 40:121-128, 1956
7)Chan E, Russell J, McCrindle B, et al:Postoperative chylothorax after cardiothoracic surgery in children. Ann Thorac Surg 80:1864-1870, 2005
8)Shimizu K, Yoshida J, Nagai K, et al:Treatment strategy for chylothorax after pulmonary resection and lymph node dissection for lung cancer. J Thorac Cardiovasc Surg 124:499-502, 2002
9)Ten Hoor T, Hewan-Lowe K, Moss M, et al:A transitional variant of Castleman's disease presenting as a chylous pleural effusion. Chest 115:285-288, 1999
10)Blankenship M, Rowlett J, Jones R, et al:Giant lymph node hyperplasia(Castleman's disease)presenting with chylous pleural effusion. Chest 112:1132-1133, 1997
11)Marais B, Pienaar J, Gie R, et al:Kaposi sarcoma with upper airway obstruction and bilateral chylothoraces. Pediatr Infect Dis J 22:926-928, 2003
12)van Straaten H, Gerards L, Krediet T, et al:Chylothorax in the neonatal period. Eur J Pediatr 152:2-5, 1993
13)Teba L, Dedhia H, Alexander J, et al:Chylothorax review. Crit Care Med 13:49-52, 1985
14)Coe J, Aikawa J:Cholesterol pleural effusion:report of 2 cases studied with isotopic techniques and review of the world literature. Arch Intern Med 108:763-774, 1961
15)Inoue Y, Otake T, Sasaki Y, et al:Lymphoscintigraphy using Tc-99m human serum albumin in chylothorax. Clin Nucl Med 22:60, 1997
16)Stavngaard T, Mortensen J, Svendsen L, et al:Lymphoscintigraphy using technetium-99m human serum albumin in chylothorax. Thorac Cardiovasc Surg 50:250-252, 2002
17)Selle J, Snyder Wr, Schreiber J, et al:Chylothorax:indications for surgery. Ann Surg 177:245-249, 1973
18)Gupta D, Ross K, Piacentino Vr, et al:Use of LeVeen pleuroperitoneal shunt for refractory high-volume chylothorax. Ann Thorac Surg 78:e9-12, 2004
19)Tanaka E, Matsumoto K, Taguchi Y, et al:Implantation of a pleurovenous shunt for massive chylothorax in a patient with yellow nail syndrome. Thorax 60:254-255, 2005
20)Kelly R, Shumway S:Conservative management of postoperative chylothorax using somatostatin. Ann Thorac Surg 69:1944-1945, 2000
21)Demos N, Kozel J, Scerbo J:Somatostatin in the treatment of chylothorax. Chest 119:964-966, 2001
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