Abid Qamar, Millner Russel W
Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, United Kingdom.
Asian Cardiovasc Thorac Ann. 2003 Dec;11(4):355-6. doi: 10.1177/021849230301100420.
Chylothorax after myocardial revascularization is a rare but serious complication. There is as yet no definitive treatment. We report a case in which chylothorax was diagnosed on the 3rd postoperative day. Conservative management with dietary restriction to medium-chain triglyceride led to reduction of chyle leakage from 300 to 400 mL/day to 50 to 60 mL/day 3 days later. However, the leak persisted until talc pleurodesis was performed.
心肌血运重建术后乳糜胸是一种罕见但严重的并发症。目前尚无确切的治疗方法。我们报告一例在术后第3天诊断为乳糜胸的病例。通过饮食限制中链甘油三酯进行保守治疗，3天后乳糜漏从每天300至400毫升减少至50至60毫升。然而，漏液一直持续，直到进行了滑石粉胸膜固定术。
