创伤性乳糜胸的早期诊断和治疗  

Early diagnosis and treatment of traumatic chylothorax

作　　者：李鹏[1] 

机构地区：[1]河南省商丘市第一人民医院胸心外科,商丘476100

出　　处：《中原医刊》2007年第23期25-26,共2页Central Plains Medical Journal

摘　　要：目的总结创伤性乳糜胸的早期诊断和治疗经验。方法回顾性分析1992年12月至2005年12月间我院收治的11例创伤性乳糜胸病人的临床资料，其中左侧乳糜胸4例，右侧乳糜胸6例，双侧乳糜胸1例，采取保守治疗5例，胸导管结扎术6例。结果10例治愈（90，9％），1例死亡，病死率9．1％。结论创伤性乳糜胸临床表现常被合并伤所掩盖，应尽早做出诊断，采取合理治疗方法，否则将造成病情延误。Objective To summarize the clinical experience of the early diagnosis and treatment of traumatic chylothorax. Methods A retrospective study was carried out in 29 patients with traumatic chylothorax from Dec. 1992 to Dec. 2005. Among them 4 cases had left chylothorax, 6 cases had right chylothorax,and 1 case had bilothorax chylothorax. 5 cases were treated with conservative therapy and 6 cases were treated with ligation of thoracic duat. Results Ten patients （90.9%）were cured, and 1 patient died （9.1% ）. Conclusion Traumatic chylothorax is easily neglected because of complications in the chest and the abdomen, diagnosed early and tread suitably, traumatic chylothorax can be cured,otherwise it would be delayed.

关 键 词：胸部创伤 乳糜胸 诊断 手术 

分 类 号：R65[医药卫生—外科学]