Sebastiao Porto A, Ocáriz Bazzano F C, Henrique Paiva A, Marti Traver L A, Celeste Henriques S R
Servicios de Cirugía y Pediatría. Hospital Universitario Alzira Velano. Facultad de Ciencias Médicas. Universidad de Alfenas. Brasil.
An Esp Pediatr. 2000 Nov;53(5):492-4.
We report the case of a male child in whom a chest tube developed into an iatrogenic chylothorax. Two similar cases have been reported in the literature, only one of them being similar to the present case. In both patients the anatomic topography of the thoracic duct coincided with the tube-induced injuries. We believe that such accidents are caused by pathological weakness of the pleura when in contact with the rigidity and sharp-edged points of the chest tubes.
我们报告了一例男童病例，其胸腔引流管引发了医源性乳糜胸。文献中已报道了两例类似病例，其中只有一例与本病例相似。在这两例患者中，胸导管的解剖位置均与导管引发的损伤部位相符。我们认为，此类意外是由于胸膜与胸腔引流管的硬度和尖锐边缘接触时出现病理上的薄弱所致。
