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恶性肿瘤致胸腔、腹腔或胸、腹腔同时乳糜积液偶有报道。本文报告双侧胸腔与腹腔同时乳糜积液2例并文献复习。 例1(住院号:251302)男,21岁,于1981年3月,闷气月余,拟诊双侧胸腔积液。胸穿10次,均抽出粉红色液体,乳糜试验阳性,经抗炎、抗痨、抗丝虫病治疗均无效。至1981年11月病情加重转入我院。检查;消瘦,重病容,双侧背部第七肋以下是实音,语颤及呼吸音消失,腹膨隆,肝脾触诊不满意,腹水(),未触及肿块,双下肢浮肿(+)。胸(双)腹腔穿刺均抽出粉红色液体,比重1.012～1.015,蛋白定性(),乳糜试验均阳性,癌细胞、抗酸杆菌、细菌培养均(-),乳糜液及血液查微丝蚴(-)。
Malignant tumors caused by pleural effusions in the chest cavity, abdominal cavity, or chest and abdomen are occasionally reported. This article reports two cases of bilateral pleural effusion and intraperitoneal chylous effusion and literature review. Example 1 (Hospital No.: 251302) Male, 21 years old, in March 1981, suffocated for more than one month, was expected to diagnose bilateral pleural effusion. Thoracic wear 10 times, were drawn pink liquid, chylomicron test positive, anti-inflammatory, antispasmodic, anti-filariasis treatment are invalid. As of November 1981, the condition was aggravated and transferred to our hospital. Examination; weight loss, severe disease, the seventh rib on both sides of the back is a real sound, speech and breath sounds disappear, abdominal distension, liver and spleen are not satisfied with palpation, ascites (), no palpable mass, double lower extremity edema (+). Thoracic (double) peritoneal puncture all extracted pink liquid, specific gravity 1.012 ~ 1.015, protein qualitative (), chylomicron test were positive, cancer cells, acid-fast bacilli, bacterial culture were (-), chyle fluid and blood microfilariae ( -).