外伤性乳糜胸诊治体会  

Diagnosis and Treatment Experience of Traumatic chylothorax

作　　者：张开广[1] 王蔚[1] 缪丙荣[1] 张伟 白相春[1] 

机构地区：[1]东南大学医学院附属徐州医院胸心外科,江苏徐州221009

出　　处：《中国医师杂志》2003年第11期1490-1491,共2页Journal of Chinese Physician

摘　　要：目的　探讨外伤性乳糜胸的诊断和治疗。方法　总结自 1980年 12月至 2 0 0 1年 12月 13 85例胸外伤中发生乳糜胸者16例。其中左侧乳糜胸 4例 ,右侧乳糜胸 11例 ,双侧乳糜胸 1例 ,采取保守治疗 11例 ,胸导管结扎术 5例。结果　死亡 2例 ,余均治愈出院。结论　对外伤性乳糜胸应尽早作出诊断 ,采取合理的治疗手段 ,即可及时治愈 。Objective To explore diagnosis and treatment of traumatic chylothorax. Methods We summarized 16 cases with traumatic chylothorax from 1385 patients who suffered from thoracic trauma from Dec.1980 to Dec.2001. Among them, 4 cases had left chylothorax, 11 cases had right chylothorax,and 1 case had bilateral chylothorax. 11 cases were treated with conservative therapy and 5 cases were treated by ligation of thoracic duct. Results 2 patients died,and the others were cured. Conclusion Diagnosed early and treated suitably, traumatic chylothorax can readily be cured, otherwise it would be delayed.

关 键 词：胸部外伤 乳糜胸 手术 

分 类 号：R655[医药卫生—外科学]