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食管癌术后乳糜胸的诊断与治疗
引用本文:傅勇,周瑜,黄涛,谢兴安. 食管癌术后乳糜胸的诊断与治疗[J]. 重庆医学, 2011, 40(12): 1183-1184. DOI: 10.3969/j.issn.1671-8348.2011.12.016
作者姓名:傅勇  周瑜  黄涛  谢兴安
作者单位:重庆市垫江县人民医院胸外科,408300;重庆市垫江县人民医院胸外科,408300;重庆市垫江县人民医院胸外科,408300;重庆市垫江县人民医院胸外科,408300
摘    要:目的探讨食管癌切除手术后乳糜胸的诊断与治疗。方法回顾分析2000年1月至2010年7月本院554例食管癌外科手术治疗的临床资料,术后并发乳糜胸7例,行保守治疗或再次开胸行胸导管结扎手术治疗。结果 7例中保守治疗4例,3例治愈,1例中转手术。手术治疗4例,其中1例因手术后全身衰竭死亡,3例痊愈、出院。结论食管癌术后乳糜胸根据临床症状、实验室检查、胸腔积液量及颜色即可诊断,确诊后可先行保守治疗,若每日引流量在500 mL以上且无减少趋势,应尽早手术。

关 键 词:食管肿瘤  乳糜胸  胸导管  结扎术

The diagnosis and treatment of chylothorax after operation for esophageal cancer
Fu Yong,Zhou Yu,Huang Tao,Xie Xingan. The diagnosis and treatment of chylothorax after operation for esophageal cancer[J]. Chongqing Medical Journal, 2011, 40(12): 1183-1184. DOI: 10.3969/j.issn.1671-8348.2011.12.016
Authors:Fu Yong  Zhou Yu  Huang Tao  Xie Xingan
Affiliation:(Department of Thoracic Surgery,the People′s Hospital of Dianjiang,Chongqing 408300,China)
Abstract:Objective To investigate the diagnosis and treatment of post-operative chylothorax after the operation for esophageal cancer.Methods Totally 554 patients with esophageal cancer under-went resection from January 2000 to July 2010.Post-operation chylothorax was found in 7 cases.Conservative treatment was used at first.If obvious curative effect failed to be achieved,treatment was switched over to operation.And ligation of thoracic duct was performed directly on the patients with drained thoracic fluid more th...
Keywords:esophageal neoplasms  chylothorax  thoracic duct  ligation  
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