食管癌贲门癌术后乳糜胸的处理  

The Management of Postoperative Chylothorax for Esophageal and Cardiac Carcinoma

作　　者：王厚峋[1] 库尔班[2] 方公贤[1] 唐国学[3] 

机构地区：[1]福建省人民医院,350004 [2]新疆医学院一附院 [3]辽宁省肿瘤医院

出　　处：《中国肿瘤临床与康复》1998年第1期60-61,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的　探讨食管瘤贲门癌切除术后并发乳糜胸的处理方法。方法　本组13例病人中8例行外科手术治疗，术前2小时给予患者500ml牛奶和100～2009动物油口服，通常选择乳糜胸侧开胸切口，双侧乳糜胸则经右侧入路。结果　8例手术者6例痊愈，5例行保守治疗的病人中3例死亡。结论　食管癌贲门癌术后乳糜胸应以外科手术为首选治疗方法，保守治疗只能选择性地应用。Objective Toassese the result of postoperative chylothorax for esophageal and cardiac carcinoma. Methods The operation were performde using a posterolateral thoracotomy surgicalprocedures in 8 of 13 cases. Milk 500ml and oil of animal 100--200g were taken by mouth in zhoursof preoperation. Kesults 6 of 8 cases were survival in operative grorp. In the Medically treatmentgroup of patients, 3 died in 5 cases. Conclusion This study suggested that the surgical proeeduresshould be selected firstly in the treatment of chtlothorax for esophageal and cardiac carcinoma.

关 键 词：食管癌 贲门癌 乳糜胸 外科手术 手术后 

分 类 号：R735.1[医药卫生—肿瘤]