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| 77例食管癌术后乳糜胸的诊治分析 | |
| 引用本文： | 李晓雷,曹安强,陈旭. 77例食管癌术后乳糜胸的诊治分析[J]. 西部医学, 2010, 22(6): 1008-1010 |
| 作者姓名： | 李晓雷 曹安强 陈旭 |
| 作者单位： | 南充市中心医院心胸外科,川北医学院第二临床医学院,四川,南充,637000 |
| 摘 要： | 目的总结胸部手术后并发乳糜胸的诊治经验。方法回顾性分析77例胸部手术后并发乳糜胸的诊治情况与结局。结果治愈76例（98.70%）,其中保守治疗58例,治愈57例,1例因肺部感染呼吸衰竭放弃出院;手术治疗19例,均痊愈。结论食管癌术后乳糜胸发生率较低,应实施预防为主的综合治疗原则,积极的保守治疗可使大部分病人避免二次手术打击,注射500 g/L高渗葡萄糖治疗乳糜的方法比注射滑石粉效果好。若病情未能改善,果断实施手术是积极有效的治疗方式。 |
| 关 键 词： | 胸导管 食管癌 乳糜胸 术后并发症 |
77 cases of postoperative chylothorax in esophageal cancer |
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| Affiliation: | LI Xiao-lei,CAO An-qiang (Department of Cardiothoracic Surgery,Nanchong Central Hospital,North Sichuan Medical University,Nanchong 637000,Sichuan,China) |
| Abstract: | Objective To analyze the diagnosis and treatment of chylothorax after thoracic surgery.Methods 77 cases of chylothorax after thoracic surgery were retrospectively analyzed.Results There were 76 cases（98.70%） cured including 57 cases treated with conservative treatment and 19 cases surgical treatment.Conclusion The incidence of postoperative chylothorax was low and the treatment should be based on the principle of comprehensive prevention and active treatment. |
| Keywords: | Thoracic duct Esophageal cancer Chylothorax Postoperative complications |
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