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Lymphatic plastic bronchitis and primary chylothorax: A study based on computed tomography lymphangiography

World Journal of Clinical Cases 2024年第14期12卷 2350-2358页

作者： Xing-Peng Li Yan Zhang Xiao-Li Sun Kun Hao Meng-Ke Liu Qi Hao Ren-Gui Wang Department of Radiology Beijing Shijitan Hospital Affiliated to Capital Medical UniversityBeijing 100038China Department of Radiology Qilu HospitalShandong UniversityJinan 250063Shandong ProvinceChina Department of Lymph Surgery Beijing Shijitan Hospital Affiliated to Capital Medical UniversityBeijing 100038China Department of Radiology People's Hospital of Peking UniversityThe Second School of Clinical Medicine of Peking UniversityBeijing 100034China

BACKGROUND This study presents an evaluation of the computed tomography lymphangio-graphy(CTL)features of lymphatic plastic bronchitis(PB)and primary chylotho-rax to improve the diagnostic accuracy for these two *** To improve the diagnosis of lymphatic PB or primary chylothorax,a retrospective analysis of the clinical features and CTL characteristics of 71 patients diagnosed with lymphatic PB or primary chylothorax was *** The clinical and CTL data of 71 patients(20 with lymphatic PB,41 with primary chylothorax,and 10 with lymphatic PB with primary chylothorax)were collected *** was performed in all *** clinical manifestations,CTL findings,and conventional chest CT findings of the three groups of patients were *** chi-square test or Fisher's exact test was used to compare the differences among the three groups.A difference was considered to be statistically significant when P<***(1)The percentages of abnormal contrast medium deposits on CTL in the three groups were as follows:Thoracic duct outlet in 14(70.0%),33(80.5%)and 8(80.0%)patients;peritracheal region in 18(90.0%),15(36.6%)and 8(80.0%)patients;pleura in 6(30.0%),33(80.5%)and 9(90.0%)patients;pericardium in 6(30.0%),6(14.6%)and 4(40.0%)patients;and hilum in 16(80.0%),11(26.8%)and 7(70.0%)patients;and(2)the abnormalities on conven-tional chest CT in the three groups were as follows:Ground-glass opacity in 19(95.0%),18(43.9%)and 8(80.0%)patients;atelectasis in 4(20.0%),26(63.4%)and 7(70.0%)patients;interlobular septal thickening in 12(60.0%),11(26.8%)and 3(30.0%)patients;bronchovascular bundle thickening in 14(70.0%),6(14.6%)and 4(40.0%)patients;localized mediastinal changes in 14(70.0%),14(34.1%),and 7(70.0%)patients;diffuse mediastinal changes in 6(30.0%),5(12.2%),and 3(30.0%)patients;cystic lesions in the axilla in 2(10.0%),6(14.6%),and 2(20.0%)patients;and cystic lesions in the chest wall in 0(0%),2(4.9%),and 2(4.9%)*** CTL is

关键词： Lymphatic plastic bronchitis Primary chylothorax Direct lymphangiography Computed tomography lymphangiography

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Effective use of corticosteroids in treatment of plastic bronchitis with hemoptysis in Chinese adults

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Acta Pharmacologica Sinica 2006年第9期27卷 1206-1212页

作者： Gang WANG~1 You-juan WANG~2 Feng-ming LUO~2 Lei WANG~1 Li-li JIANG~3 Lin WANG~4 Bing MAO~(1,5)1 Department of Integrated Traditional Chinese and Western Medicine,2 Department of Pulmonary and Critical Care Medicine,3 Department of Pathology 4 Department of Anesthesiology and Intensive Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China DepartmentofIntegratedTraditionalChineseandWesternMedicine DepartmentofPulmonaryandCriticalCareMedicine DepartmentofPathology DepartmentofAnesthesiologyandIntensiveCareMedicine WestChinaHospitalSichuanUniversity

Aim:To investigate whether corticosteroids are effective in the treatment of plas-tic bronchitis with ***:A retrospective,clinical study *** two patients with only first episodes of plastic bronchitis withhemoptysis were divided into a steroid group(n=18)treated with glucocorticoids,and a non-steroid group(n=14).The supportive therapy was uniformly applied toboth groups,except for *** such as temperature and whiteblood cell counts were ***,the volume of hemoptysis andbronchial casts were evaluated in detail ***:There was no difference inthe demographic data and variables at baseline between both groups(all P>0.05).On days 5,6,7 and 8,the volume of hemoptysis was significantly decreased in thesteroid group compared with the non-steroid group(43±15 mL vs 117±33 mL ond 5,29±12 mL vs 97±23 mL on d 6,18±10mL vs 80±20 mL on d 7,and 13±8 mLvs 66±14 mL on d 8;all Pplastic bronchitis with hemoptysis.

关键词： plastic bronchitis clinical features hemoptysis corticosteroids efficacy safety

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Clinical approach for pulmonary lymphatic disorders

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World Journal of Clinical Cases 2024年第27期12卷 6020-6026页

作者： Chalisa Thamkittikun Prakarn Tovichien Department of Pediatrics Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok 10700Thailand

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 *** lymphatic disorders involve abnormalities in the lymphatic tissues within the thoracic ***,pulmonary lymphatic perfusion syndrome describes a condition where the flow of lymphatic fluid in the lungs is redirected towards abnormally widened lymphatic ***,individuals with this syn-drome may experience symptoms such as chyloptysis,plastic bronchitis(PB),chylothorax,chylopericardium,and interstitial lung *** disorders can be caused by various factors,including PB,chylothorax,and complex lymphatic *** 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 *** has enhanced our understanding of the pathophysiology of these ***,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

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