| 袁文凤,史梦茹,李俊强,等.妊娠期慢性咳嗽致左侧乳糜胸1 例并文献复习[J].安徽医药,2023,27(3):512-515. |
| 妊娠期慢性咳嗽致左侧乳糜胸1 例并文献复习 |
| A case report of left chylothorax caused by chronic cough during pregnancy and literature review |
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| DOI：10.3969/j.issn.1009-6469.2023.03.019 |
| 中文关键词: 妊娠并发症 咳嗽 乳糜胸 引流术 |
| 英文关键词: Pregnancy complications Cough Chylothorax Drainage |
| 基金项目:四川省卫生和计划生育委员会科研基金(17PJ254) |
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| 中文摘要: |
| 目的 探讨妊娠期慢性咳嗽致左侧乳糜胸的诊治经验。方法 总结西南交通大学附属医院妇产科2021年5月收治的1例妊娠期慢性咳嗽致左侧乳糜胸病人的诊治经过并复习国内外文献，对该病相关的临床特征及诊治进行总结。结果 病人妊娠期咳嗽2月，未予治疗，于孕30周，出现气促胸闷，影像学提示左侧胸腔大量积液，胸腔穿刺引流出乳白色浑浊液体。保守治疗及终止妊娠均治疗效果不佳，行手术治疗后胸腔乳糜引流液逐步减少至停止，随访病人恢复良好。结论 妊娠期慢性咳嗽可导致乳糜胸，该病诊断依靠病史及相关辅助检查，手术治疗是关键。 |
| 英文摘要: |
| Objective To explore the diagnosis and treatment experience of left chylothorax caused by chronic cough during preg?nancy.Methods The diagnosis and treatment of a patient with left chylothorax caused by chronic cough during pregnancy admitted tothe Department of Obstetrics and Gynecology, Affiliated Hospital of Southwest Jiaotong University in May 2021 were summarized, and the literature at home and abroad was reviewed to summarize the clinical characteristics and diagnosis and treatment of the disease.Re?sults The patient had cough for 2 months during pregnancy and was not treated. At 30 weeks of pregnancy, patient developed short?ness of breath and chest tightness. Imaging showed a large amount of effusion in the left thoracic cavity, and milky white turbid liquid was drained by thoracic puncture. Conservative treatment and termination of pregnancy were ineffective. After surgical treatment, the thoracic chyle drainage was gradually reduced to stop, and the follow-up patients recovered well.Conclusions Chronic cough during pregnancy can lead to chylothorax. The diagnosis of the disease depends on medical history and related auxiliary examinations. Surgi?cal treatment is the key. |
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