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食管癌切除术后乳糜胸的治疗及预防(附31例治疗分析)

The Treatment and Prevention of Chylotorax Follwing Resection ofEsophageal Carcinoma(A Report of 31 Cases)

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【作者】 肖大伟陈秉燮林开荣

【Author】 Xiao Darwei Cheng Bingshuo,Lin Kairong(Department of Thoracic Surgery,The first Affiliated Hospitalof Shantou University Medical College 515041)

【机构】 汕头大学医学院第一附属医院胸外科

【摘要】 我院自1975年~1994年食管癌切除术后发生乳糜胸31例,早期发生率为1.92%,保守治疗组及手术结扎胸导管治疗组病人的胸引流高峰期三天平均为450±220ml/天及960±230ml/天,二者有明显差别(P<0.01),认为胸引流量连续3~4天在800~1000ml/天以上又无下降趋势者,应及时手术治疗。自1991年以来,我们采取了综合预防措施,部分预防性结扎胸导管,其发生率明显下降为0.6%。

【Abstract】 From 1975 to 1994,31 cases of chylothorax occured in our hospigal after reseetion ofesophageal carcinoma:The early incicence was 1.92%. The volume daily flow was up to climax in mean 3days and patient who were operated and inoperated were 450±220ml and 960±230ml. Both had significantdifference(p<0.01),If the volume daily flow exceeded 800~1000ml without tendency of subsidence after 3~4days,surgery is indicated.The incidence has been decreased to 0.6%afterwe used complex-preventionmethods.

  • 【文献出处】 齐鲁肿瘤杂志 ,JOURNAL OF QILU ONCOLOGY , 编辑部邮箱 ,1995年04期
  • 【分类号】R735.1
  • 【被引频次】4
  • 【下载频次】25
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