A case of chylothorax

Patient S-ch, 40 years old, was admitted with complaints of shortness of breath, severe pain in the left side of the chest and in the left hypochondrium and inability to lie on the right side and back. 5 days ago b-noi received a knife wound in the upper left part of the back, between the scapula and 2-3 thoracic vertebrae. 10-15 minutes after the wound, the b-mu was helped by a surgeon, who ascertained that the patient had a wound penetrating the pleura and lung with symptoms of subcutaneous emphysema, there was no hemoptysis. Gd had a very bad night, restless and anxious and complained of pain in the left side of his chest. In the morning, a council of physicians and surgeons established hemopneumothorax in b-th. The temperature was normal; on the back between the left shoulder blade and the second thoracic vertebra, a small wound was found with a small amount of blood discharge. In the following days, the patient's condition worsened, shortness of breath increased, insomnia, a feeling of compression and pain in the left side of the chest increased, the temperature rose to 37.4 ° and on the advice of the doctors who used the patient was hospitalized with a diagnosis of hemopneumothorax.