Haug E S, Saether O D, Odegaard A, Johnsen G, Myhre H O
Department of Surgery, University Hospital of Trondheim, Norway.
Int Angiol. 1998 Dec;17(4):244-7.
Two patients developed chylous complications following abdominal aortic aneurysm repair. One patient had chylous ascitis and was successfully treated by a peritoneo-caval shunt. The other patient developed a lymph cyst, which gradually resorbed after puncture. Chylous complications following aortic surgery are rare. Patients in bad a general condition should be treated by initial paracentesis and total parenteral nutrition, supplemented by medium-chain triglyceride and low-fat diet. If no improvement is observed on this regimen, the next step should be implementation of a peritoneo-venous shunt, whereas direct ligation of the leak should be reserved for those who are not responding to this treatment.
两名患者在腹主动脉瘤修复术后出现了乳糜性并发症。一名患者发生了乳糜性腹水，通过腹膜腔静脉分流术成功治愈。另一名患者出现了淋巴囊肿，穿刺后逐渐吸收。主动脉手术后的乳糜性并发症很罕见。一般状况较差的患者应首先进行腹腔穿刺和全胃肠外营养，并补充中链甘油三酯和低脂饮食。如果按此方案治疗无改善，下一步应实施腹膜静脉分流术，而对于对此治疗无反应的患者则应保留对漏口进行直接结扎。
