重庆医学2011，Vol.40Issue(12)：1183-1184,2.DOI:10.3969/j.issn.1671-8348.2011.12.016
食管癌术后乳糜胸的诊断与治疗
The diagnosis and treatment of chylothorax after operation for esophageal cancer
傅勇 1周瑜 1黄涛 1谢兴安1
作者信息
- 1. 重庆市垫江县人民医院胸外科,408300
- 折叠
摘要
Abstract
Objective To investigate the diagnosis and treatment of post operative chylothorax after the operation for esophagealcancer. Methods Totally 554 patients with esophageal cancer under went resection from January 2000 to July 2010. Post-operation chylothorax was found in 7 cases. Conservative treatment was used at first. If obvious curative effect failed to be achieved, treatment was switched over to operation. And ligation of thoracic duct was performed directly on the patients with drained thoracic f1uid more than 500 m; per day. Results Among the 7 cases of post operative chylothorax,conservative treatment was used in 4 cases,3 cases were cured and 1 was transferred to surgical treatment,3 cases with surgical treatment were cured and 1 case was died. Conclusion The diagnosis of chylothorax after esophageal cancer operation should be generally considered by clinical symptoms and hydrothorax. Once confirmed conservative treatment must be used firstly. If the drained hydrothorax is more than 500 mL per day with non-decreasing trend, operation should be performed.关键词
食管肿瘤/乳糜胸/胸导管/结扎术Key words
esophageal neoplasms / chylothorax / thoracic duct / ligation引用本文复制引用
傅勇,周瑜,黄涛,谢兴安..食管癌术后乳糜胸的诊断与治疗[J].重庆医学,2011,40(12):1183-1184,2.
