【作者】
黄秋雨；
王帅；
何悦；
郑家伟；
彭歆；
刘冰；
李一；
王安训；
刘习强；
陈传俊；
毕小琴；
杨悦；
吴红梅；
叶艳彬；
肖炜；
陈芸梅；
赵芳；
李燕娥；
周陶；
何杏芳；
王澄；
叶菁菁；
王晓玲；
陈超刚；
侯劲松；
【Author】
Huang Qiuyu;Wang Shuai;He Yue;Zheng Jiawei;Peng Xin;Liu Bing;Li Yi;Wang Anxun;Liu Xiqiang;Chen Chuanjun;Bi Xiaoqin;Yang Yue;Wu Hongmei;Ye Yanbin;Xiao Wei;Chen Yunmei;Zhao Fang;Li Yan’e;Zhou Tao;He Xingfang;Wang Cheng;Ye Jingjing;Wang Xiaoling;Chen Chaogang;Hou Jinsong;Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Stomatology; Institute of Stomatology, Sun Yat-sen University;Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine;Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University;Department of Oral and Maxillofacial Head and Neck Oncology, School and Hospital of Stomatology, Wuhan University;Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Chongqing Medical University;Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Sun Yat-sen University;Department of Stomatology, Nanfang Hospital, Southern Medical University;Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China;Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University;Department of Nursing, Stomatological Hospital Affiliated to Nanjing Medical University;Department of Clinical Nutrition, the First Affiliated Hospital of Jinan University;Department of Nursing, School and Hospital of Stomatology, Guangzhou Medical University;Department of Oral and Maxillofacial Surgery, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University;Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital;Department of Clinical Nutrition, Sun Yat-sen Memorial Hospital, Sun Yat-sen University;Department of Clinical Nutrition, The Eighth Affiliated Hospital,Sun Yat-sen University;
【通讯作者】
陈超刚;侯劲松;
【机构】
中山大学附属口腔医院口腔颌面外科,广东省口腔医学重点实验室,中山大学口腔医学研究所；
上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科；
北京大学口腔医院口腔颌面外科；
武汉大学口腔医院口腔颌面头颈肿瘤外科；
重庆医科大学附属口腔医院口腔颌面外科；
中山大学附属第一医院口腔颌面外科；
南方医科大学南方医院口腔科；
中国科学技术大学附属第一医院口腔颌面外科；
四川大学华西口腔医院头颈肿瘤外科；
南京医科大学附属口腔医院护理部；
暨南大学附属第一医院临床营养科；
广州医科大学口腔医学院·附属口腔医院护理部；
南方医科大学附属广东省人民医院(广东省医学科学院)口腔颌面外科；
北京大学深圳医院口腔颌面外科；
中山大学孙逸仙纪念医院临床营养科；
中山大学附属第八医院临床营养科；
【摘要】 乳糜漏治疗以保守治疗为主，临床营养管理是保守治疗的主要内容，对乳糜漏患者的快速康复至关重要。目前不同医疗单位对口腔颌面部恶性肿瘤颈淋巴清扫术后乳糜漏临床营养管理措施各不相同，尚缺乏广为认可的、标准化的管理流程。为规范口腔颌面部恶性肿瘤颈淋巴清扫术后乳糜漏临床营养管理模式，促进快速康复，改善健康结局，本团队基于现有最新文献证据，汇集全国21家医学院校及相关医院多学科专家意见，采用德尔菲法并经专家会议反复讨论，制定出口腔颌面部恶性肿瘤颈淋巴清扫术后乳糜漏临床营养管理专家共识。本共识除重点介绍临床营养管理外，还对乳糜漏的发生、术中预防、乳糜漏诊断、并发症监测、常规保守治疗及手术治疗方案等进行了介绍。更多还原
【Abstract】 [Summary] The treatment of chyle leakage primarily relies on conservative approaches, with clinical nutrition management being a crucial component that significantly contributes to the rapid recovery of chyle leakage patients.Currently, the clinical nutrition management strategies for chyle leakage following neck dissection in patients with oral and maxillofacial malignant tumors vary across different medical institutions, and there is a lack of widely accepted and standardized management procedures. To standardize the clinical nutrition management of chyle leakage after neck dissection in patients with oral and maxillofacial malignant tumors, promote rapid recovery, and improve health outcomes,our team developed the expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors. The consensus was developed based on the best available literature and the collective opinions of multidisciplinary experts from 21 medical colleges and affiliated hospitals in China. The consensus not only focused on clinical nutrition management, but also provided essential information on the etiology of chyle leakage.Additionally, it covered intraoperative prevention, diagnosis, monitoring of complications, conventional conservative treatment, and surgical treatment as necessary.更多还原
【基金】 广东省医学科研基金项目（A2021008）;中山大学临床医学研究5010项目（2015018）;广东省岭南南丁格尔护理研究院、广东省护理学会护理创新发展研究课题（GDHLYJYB202418）
