食管癌术后乳糜胸的治疗  

The treatment of chylothorax after resection of esophageal carcinoma

作　　者：李文献[1] 

机构地区：[1]南阳医学高等专科学校第二附属医院胸外科,河南南阳473000

出　　处：《中国卫生产业》2013年第29期140-141,共2页China Health Industry

摘　　要：目的探讨食管癌患者术后并发乳糜胸的治疗方法。方法回顾分析我院21例食管癌术后并发乳糜胸患者的临床资料,术后证实乳糜胸,经积极保守治疗,如胸管引流量>1000 mL/d并持续4 d以上者行手术治疗;如胸管引流量<1000 mL且进行性减少者继续保守治疗;保守治疗至第10 d,如乳糜量仍无明显减少并>500 mL/d的,行手术治疗。小于500 mL/d者可自愈。结果 21例均先行保守治疗,8例痊愈;再手术治疗后治愈13例。21例治愈患者3个月后复查无乳糜胸再发。结论食管癌术后乳糜胸患者早期行严格、正规的保守治疗后,有自愈的可能;保守治疗效不佳者可经原切口进胸行胸导管大束结扎。Objective The treatment of chylothorax in patients of esophageal cancer after operation. Methods The clinical data were retrospectively analyzed in 21 cases of esophageal carcinoma postoperative chylothorax, confirmed by postoperative chylothorax, conservative treatment after a positive, such as chest tube drainage, 1000 mL/d and 4D were treated with operation; such as chest tube drainage and <1000 mL were decreased to conservative treatment; conservative treatment to 10d, such as celiac volume still did not significantly decrease and > 500 mL/d, treated with operation. Less than 500 mL/d can be self-healing. Results 21cases underwent conservative treatment, 8 cases recovered after operation; 13 cases were cured after treatment. 21 cases were cured patients after 3 months without recurrence. Conclusion Conservative treatment of chylothorax after esophagectomy in patients with early strict, formal, have the possibility of healing; conservative treatment of the poor can be approved by the original incision into the thoracic duct ligation of large beam.

关 键 词：食管癌 乳糜胸 术后并发症 

分 类 号：R735.1[医药卫生—肿瘤]