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乳糜胸的早期诊治

Early Diagnosis and Treatment of Chylothorax

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【作者】 吴小勤; 刘焕青; 巫国勇; 李咏松; 高霞; 张广云; 蒋道明;

【Author】 WU Xiao-qin,LIU Huan-qing,WU Guo-yong,et al.(Department of Cardiothoracic Surgery,People’s Hospital of Heyuan,Heyuan 517000)

【机构】 广东省河源市人民医院胸心外科; 中山大学附属第一医院胸心外科; 广东省河源市人民医院胸心外科 517000; 517000; 510080; 517000;

【摘要】 目的:探讨乳糜胸的原因及早期诊治方法。方法:回顾性分析临床病历记录及相关文献。结果:35例乳糜胸中,创伤性2 6例,非创伤性9例。手术治疗15例手术,其中除1例死亡外,其余痊愈,平均治愈时间14 .5 d。保守治疗2 0例有效,平均治愈时间2 7d。结论:手术创伤仍是当前乳糜胸主要原因;创伤乳糜胸的早期诊断及积极的手术治疗,可达到很好疗效。非创伤乳糜胸保守治疗效果好。

【Abstract】 Objective:To investigate the cause of chylothorax and the early diagnosis and treatment of the disease.Method:A retrospective analysis of clinical data was conducted and the related literature was reviewed.Result:There were 35 cases of chylothorax,in which 26 were caused by trauma and the other not by trauma.15 patients received operation in which 14 were healed and 1 died with the average recovering time of 14.5 days, while for patients undergone the expectant treatment, the average recovering was 27 days.Conclusion:The main cause of chylothorax is still surgical trauma,early diagnosis and surgical treatment for traumatic chylothorax could achieve a good prognosis,and expectant treatment is better to chylothorax not due to trauma.

  • 【文献出处】 中国误诊学杂志 ,Chinese Journal of Misdiagnostics , 编辑部邮箱 ,2005年07期
  • 【分类号】R655
  • 【被引频次】10
  • 【下载频次】322
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