Stavngaard T, Mortensen J, Brenoe J, Svendsen L B
Department of Clinical Physiology and Nuclear Medicine, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Thorac Cardiovasc Surg. 2002 Aug;50(4):250-2. doi: 10.1055/s-2002-33099.
Chylous effusion is an infrequent complication of abdominothoracic surgery. When conservative therapy cannot cure the patient, surgical closure of the thoracic duct must be performed. If radiological lymphography is impossible to perform, lymphoscintigraphy with Tc-99m human serum albumin is a good alternative. Here, we present two patients who developed chylothorax after abdominothoracic surgery. Successful surgery was performed after lymphoscintigraphy had demonstrated the disruption of the thoracic duct.
乳糜胸是胸腹部手术中罕见的并发症。当保守治疗无法治愈患者时，必须进行胸导管的手术闭合。如果无法进行放射淋巴造影，用Tc-99m人血清白蛋白进行淋巴闪烁造影是一个很好的选择。在此，我们报告两名在胸腹部手术后发生乳糜胸的患者。在淋巴闪烁造影显示胸导管破裂后进行了成功的手术。
