Williams J M, Niles J D
Small Animal Teaching Hospital, The University of Liverpool, UK.
Vet Surg. 1999 Jan-Feb;28(1):61-5. doi: 10.1053/jvet.1999.0061.
To describe a novel technique for the surgical treatment of idiopathic chylothorax in a dog.
A 6-year-old, male Rhodesian Ridgeback, which presented with a history of reduced exercise tolerance and dyspnea.
Idiopathic chylothorax was diagnosed. Intermittent pleural drainage failed to resolve the problem. During surgery, extensive pleural fibrosis made it impossible to identify the thoracic duct. A dorsal omental pedicle was advanced through an incision in the diaphragm and into the cranial thoracic cavity to act as a physiological drain.
The dog recovered well and has remained free from clinical signs of recurrence of the effusion (16 months at the time of writing).
The disease-free interval achieved in this dog indicates that this novel technique is worthy of further consideration in the management of idiopathic chylothorax.
描述一种用于犬特发性乳糜胸手术治疗的新技术。
一只6岁雄性罗得西亚脊背犬，有运动耐量降低和呼吸困难病史。
诊断为特发性乳糜胸。间歇性胸腔引流未能解决问题。手术过程中，广泛的胸膜纤维化使得无法识别胸导管。通过膈肌切口将带蒂大网膜推进至胸腔上部作为生理性引流。
该犬恢复良好，截至撰写本文时（16个月）未出现积液复发的临床症状。
该犬达到的无病间隔表明，这种新技术在特发性乳糜胸的治疗中值得进一步考虑。
