胸外科手术后乳糜胸应用无创呼吸机治疗回顾性分析  

Positive End-Expiratory Pressure Ventilation in the Treatment of Chylothorax after Thoracic Surgical Procedures

作　　者：张玉坤[1] 王鹏[1] 张清秀 张波[1] ZHANG Yu-kun;WANG Peng;ZHANG Qing-xiu;ZHANG Bo(Department of Thoracic Surgery,Taian City Central Hospital,Taian Jiangsu 271000,China)

机构地区：[1]泰安市中心医院胸外科,山东泰安271000

出　　处：《医学食疗与健康》2020年第10期81-82,共2页Medical Diet and Health

摘　　要：目的:总结无创呼吸机治疗胸外科手术后乳糜胸诊治经过,探讨术后乳糜胸的治疗方案,加快患者康复。方法:回顾性分析泰安市中心医院胸外2015年6月~2019年11月胸外科手术1250例患者,并发乳糜胸患者18例,其中食管癌手术后10例,肺癌术后6例,纵隔肿瘤术后2例。年龄32~78岁,平均年龄65岁。男性10例,女性8例。确诊乳糜胸后,应用无创呼吸机正压通气辅助治疗。结果:17例通过呼吸及治疗后治愈,1例呼吸机治疗无效,手术结扎胸导管后治愈,无死亡病例。结论:无创呼吸机正压通气支持治疗是治疗手术后乳糜胸有效手段,减少再次手术率。Objective:To summarize the diagnosis and treatment of chylothorax after thoracic surgery with non-invasive ventilator,to explore the treatment plan of chylothorax after surgery,and to speed up the recovery of patients.Methods:From June 2015 to November 2019,1250 patients with chylothorax and 18 patients with chylothorax were analyzed retrospectively,including 10 patients with esophageal cancer,6 patients with lung cancer and 2 patients with mediastinal tumor.The average age is 65 years old.There were 10 males and 8 females.After the diagnosis of chylothorax,all patients received noninvasive positive pressure ventilation.Results:17 cases were cured by breathing and after treatment,1 case was ineffective in ventilator treatment,1 case was cured after ligation of thoracic duct,no death.Conclusion:Non-invasive positive pressure ventilation is an effective method to treat chylothorax and reduce the reoperation rate.

关 键 词：乳糜胸 胸外科手术 无创呼吸机 正压通气 

分 类 号：R735.1[医药卫生—肿瘤] R734.2[医药卫生—临床医学]