Hansson H E
Scand J Thorac Cardiovasc Surg. 1975;9(3):229-39. doi: 10.3109/14017437509138644.
The right lymphatic duct (RLD) was cannulated in 26 patients operated upon with open-heart surgery. The thoracic duct was cannulated in 4 additional patients and both the thoracic and the right lymphatic ducts were cannulated in 2 further patients. The RLD was also cannulated in a control group consisting of 5 thoractomy-operated patients. Lymph was collected continuously and its flow and content of albumin, electrolytes and the enzymes, GOT, GPT, CPK and LDH were analysed. A significant amount of cardiac lymph was present in about 60% of the cannulations. After cardiopulmonary bypass, lymph enzyme concentrations often rose rapidly to very high levels. The significance of the enzyme concentration-patterns and some characteristics of the flow pattern are discussed.
在26例接受心脏直视手术的患者中，对右淋巴导管进行了插管。另外4例患者对胸导管进行了插管，还有2例患者对胸导管和右淋巴导管都进行了插管。在由5例接受开胸手术的患者组成的对照组中也对右淋巴导管进行了插管。持续收集淋巴液，并分析其流量以及白蛋白、电解质和酶（谷草转氨酶、谷丙转氨酶、肌酸磷酸激酶和乳酸脱氢酶）的含量。在约60%的插管病例中存在大量的心包淋巴液。体外循环后，淋巴酶浓度常常迅速升至非常高的水平。文中讨论了酶浓度模式的意义以及流量模式的一些特征。
