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乳糜胸的早期诊治
引用本文:吴小勤,刘焕青,巫国勇,李咏松,高霞,张广云,蒋道明.乳糜胸的早期诊治[J].中国误诊学杂志,2005,5(7):1202-1204.
作者姓名:吴小勤  刘焕青  巫国勇  李咏松  高霞  张广云  蒋道明
作者单位:1. 广东省河源市人民医院胸心外科,517000
2. 中山大学附属第一医院胸心外科,510080
摘    要:目的:探讨乳糜胸的原因及早期诊治方法。方法:回顾性分析临床病历记录及相关献。结果:35例乳糜胸中.创伤性26例,非创伤性9例。手术治疗15例手术,其中除1例死亡外,其余痊愈,平均治愈时间14.5d。保守治疗20例有效,平均治愈时间27d。结论:手术创伤仍是当前乳糜胸主要原因;创伤乳糜胸的早期诊断及积极的手术治疗,可达到很好疗效。非创伤乳糜胸保守治疗效果好。

关 键 词:乳糜胸/诊断  乳糜胸/外科学
文章编号:1009-6647(2005)07-1202-03
修稿时间:2005年3月12日

Early Diagnosis and Treatment of Chylothorax
WU Xiao-qin,LIU Huan-qing,WU Guo-yong,et al..Early Diagnosis and Treatment of Chylothorax[J].Chinese Journal of Misdiagnostics,2005,5(7):1202-1204.
Authors:WU Xiao-qin  LIU Huan-qing  WU Guo-yong  
Abstract:Objective:To investigate the cause of chylothorax and the early diagnosis and treatment of the disease.Method:A retrospective analysis of clinical data was conducted and the related literature was reviewed.Result:There were 35 cases of chylothorax,in which 26 were caused by trauma and the other not by trauma.15 patients received operation in which 14 were healed and 1 died with the average recovering time of 14.5 days, while for patients undergone the expectant treatment, the average recovering was 27 days.Conclusion:The main cause of chylothorax is still surgical trauma,early diagnosis and surgical treatment for traumatic chylothorax could achieve a good prognosis,and expectant treatment is better to chylothorax not due to trauma.
Keywords:Chylothorax/diagnosis  Chylothorax/surgery
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