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Case Report:A case of chylothorax treated curatively with Sapylin, a streptococcus preparation
作者姓名:XU Zhi-hao  WANG Chun-fu  ZHANG Yue-qin  SHEN Hua-hao  XU Feng
作者单位:Department of Respiratory Diseases,the Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310009,China
基金项目:Project (No. 30500229) supported partly by the National Natural Science Foundation of China
摘    要:Chylothorax is an uncommon disease where fatty fluid accumulates within the chest cavity. Conservative manage- ment, including repeated thoracentesis or pleurodesis, seems to be suitable to most cases. Herein, we present a case of efficacious pleurodesis by intrapleural injection of Sapylin, a streptococcus preparation, for the treatment of chylothorax. A 52-year-old non-smoking female farmer was diagnosed as idiopathic chylothorax after we ruled out possible causes including chest trauma, lymphoma, lung cancer, filariasis, tuberculosis, and etc. Two-time intra-thoracic injection of 3 Klinische Einheit (KE) Sapylin achieved rapid and effective control of chylothorax with no severe side effects. Sapylin may facilitate pleurodesis by producing a strong inflammatory response.


Case Report:A case of chylothorax treated curatively with Sapylin, a streptococcus preparation
XU Zhi-hao,WANG Chun-fu,ZHANG Yue-qin,SHEN Hua-hao,XU Feng.Case Report:A case of chylothorax treated curatively with Sapylin, a streptococcus preparation[J].Journal of Zhejiang University Science,2007(12).
Authors:XU Zhi-hao  WANG Chun-fu  ZHANG Yue-qin  SHEN Hua-hao  XU Feng
Abstract:Chylothorax is an uncommon disease where fatty fluid accumulates within the chest cavity. Conservative manage- ment, including repeated thoracentesis or pleurodesis, seems to be suitable to most cases. Herein, we present a case of efficacious pleurodesis by intrapleural injection of Sapylin, a streptococcus preparation, for the treatment of chylothorax. A 52-year-old non-smoking female farmer was diagnosed as idiopathic chylothorax after we ruled out possible causes including chest trauma, lymphoma, lung cancer, filariasis, tuberculosis, and etc. Two-time intra-thoracic injection of 3 Klinische Einheit (KE) Sapylin achieved rapid and effective control of chylothorax with no severe side effects. Sapylin may facilitate pleurodesis by producing a strong inflammatory response.
Keywords:Chylothorax  Sapylin  Streptococcus preparation
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