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乳糜性胸积液(下称乳糜胸),是儿科少见疾病,我院收治2例肾病综合征并乳糜胸,现报告如下。 例1,女,6岁,因全身反复浮肿10个月伴少尿、血尿、尿浓茶样,病情加重5天于1987年12月10日入院。否认肝炎、结核病史。体查:体温36.5℃,脉搏120次/分,呼吸38次/分,血压13/8kPa,体重24公斤,呈慢性病容,全身中度浮肿,心肺无异常,腹部膨隆,腹围55cm,腹水征阳性,肝肋下3.5cm,脾未扪及,双下肢皮肤凹陷性水肿。尿常规:蛋白(+++),红细胞(+),脓球0～2,管型未发现,24小时尿蛋白定量3.83g,BUN4.3mmol/L,胆固醇13.43mmol/L,血清蛋白电泳:白蛋白0.116,球蛋白α_10.037,α_20.624,β0.066,γ0.139,A/G0.13/1,血沉83mm/h,抗“O”625u,肝功能正常,HBsAg阴性,血常规:血红蛋白13.5g/L,白细胞12.5×10~9/L,中性0.69,淋巴0.31。住院7天后出现咳嗽,轻度气紧,肺部听
Chylous pleural effusion (hereinafter referred to as chylothorax), is a rare pediatric disease, our hospital admitted to 2 cases of nephrotic syndrome and chylothorax, are as follows. Case 1, female, 6 years old, due to repeated edema of the body 10 months with oliguria, hematuria, urine concentrated tea-like, aggravated 5 days in December 10, 1987 admission. Denied hepatitis, tuberculosis history. Physical examination: body temperature 36.5 ℃, pulse 120 beats / min, breathing 38 beats / min, blood pressure 13 / 8kPa, weight 24 kg, was chronic disease, moderate edema, no abnormal heart and lungs, abdominal bulging, abdominal circumference 55cm, ascites Positive, liver ribs 3.5cm, the spleen is not palpable, both lower extremity degenerative edema. Urine routine: protein (+++), red blood cells (+), pus ball 0 to 2, tube type was not found, 24 hours urine protein 3.83g, BUN4.3mmol / L, cholesterol 13.43mmol / L, serum protein electrophoresis: Albumin 0.116, globulin α_10.037, α_20.624, β0.066, γ0.139, A / G0.13 / 1, ESR 83mm / h, anti-O 625u, normal liver function, negative HBsAg, : Hemoglobin 13.5g / L, white blood cells 12.5 × 10 ~ 9 / L, neutral 0.69, lymph 0.31. 7 days after hospitalization cough, mild gas tight, lungs listen