【摘要】 目的探讨乳廉胸的病因及诊治方法。方法回顾性分析临床病历记录及随访资料。结果４０例乳糜胸中，创伤性１４例、非创伤性２６例。非乳白色胸液２６例。手术治疗和保守治疗有效率分别为８３．３％和２５．０％，两者比较有显著性差异（Ｐ＜０．０１）。结论要重视非乳白色胸液的鉴别。淋巴管造影术和放射性核素显像可识别淋巴管异常的病因及部位。乳糜胸应作积极的病因治疗，对创伤性乳糜胸患者行胸导管缝扎术，对胸膜广泛乳糜漏者作胸膜固定术，这是成功的治疗方法。更多还原

【Abstract】 Objective To study the causes and treatment methods forchylothorax. Method The authors retrospectively analyzed clinical records and the document obtained in the follow--up visits. Result Ofthe 40 cases of chylothorax, 14 were traumatic, 26 were non-traumaticand 26 had hyrdothorax of non-milk color. The curative effects of surgical and conservative treatment were 83. 3 % and 25. 0% respectivelywith remarkable difference (P < 0. 01 ). Conclusion it should beemphasized to recognize nonmilk-colored hydrothorax. Lymphangiographyand radionuclide angiography can be applied to identify the causes andthe location of abnormal lymph. Chylothorax should be treated actively,and those suffering from traumatic chylothorax should be treated withchest catheter suture while those having extensive chylus of pleurashould resort to pleurodesis, which have beenproved tobesuccessivetreatment method.更多还原