Clinical approach for pulmonary lymphatic disorders  

作　　者：Chalisa Thamkittikun Prakarn Tovichien 

机构地区：[1]Department of Pediatrics,Faculty of Medicine Siriraj Hospital,Mahidol University,Bangkok 10700,Thailand

出　　处：《World Journal of Clinical Cases》2024年第27期6020-6026,共7页世界临床病例杂志

摘　　要：In this editorial,we discuss the clinical implications of the article“Lymphatic plastic bronchitis and primary chylothorax:A study based on computed tomography lymphangiography”published by Li et al.Pulmonary lymphatic disorders involve abnormalities in the lymphatic tissues within the thoracic cavity.Specifically,pulmonary lymphatic perfusion syndrome describes a condition where the flow of lymphatic fluid in the lungs is redirected towards abnormally widened lymphatic vessels.Clinically,individuals with this syn-drome may experience symptoms such as chyloptysis,plastic bronchitis(PB),chylothorax,chylopericardium,and interstitial lung disease.These disorders can be caused by various factors,including PB,chylothorax,and complex lymphatic malformations.Advancements in lymphatic imaging techniques,such as in-tranodal lymphangiography,computed tomography lymphangiography,and dynamic contrast-enhanced magnetic resonance lymphangiography,have enabled the detection of abnormal lymphatic flow.This has enhanced our understanding of the pathophysiology of these conditions.Additionally,innovative minimally invasive treatments,such as thoracic duct embolization,selective embolization of lymphatic channels,and surgical procedures aim to improve clinical condition of patients and address their dietary needs.

关 键 词：CHYLOTHORAX Dynamic contrast-enhanced magnetic resonance lymph-angiography Plastic bronchitis Pulmonary lymphatic disorder Pulmonary lymphatic perfusion syndrome 

分 类 号：R551.2[医药卫生—血液循环系统疾病]