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肝切除术后乳糜性腹水——病例报告

Chylous ascites following liver resection--case report.

作者信息

Prabhakaran K, Vidyadhar Mali, Jahoorahmad Patankar, Hwee Neo Grace Tan

机构信息

Department of Paediatric Surgery, National University Hospital, 5 Lower Kent Ridge Road, 119074 Singapore.

出版信息

Pediatr Surg Int. 2004 Sep;20(9):719-21. doi: 10.1007/s00383-004-1281-9. Epub 2004 Oct 27.

Abstract

Chylous ascites is an intraperitoneal collection of fluid that appears milky because of the presence of unusual amounts of fat. It is a result of interference, interruption, or obstruction of lymph flow through chyle-transporting vessels, and remains rare as a complication of surgical intervention. Liver resection has been infrequently reported as a cause of chylous ascites. We report a case of chylous ascites developing after laparotomy and right lobe liver resection, which was diagnosed early and managed conservatively with minimal morbidity. The key lies in awareness of the condition, early diagnosis, and aggressive management with nutritional support.

摘要

乳糜性腹水是腹腔内积聚的液体,因其含有异常数量的脂肪而呈乳白色。它是由于淋巴液通过乳糜运输血管的流动受到干扰、中断或阻塞所致,作为手术干预的并发症仍然较为罕见。肝切除作为乳糜性腹水的病因鲜有报道。我们报告一例开腹手术及右肝叶切除术后发生乳糜性腹水的病例,该病例早期得到诊断并采用保守治疗,发病率极低。关键在于对该病的认识、早期诊断以及积极的营养支持治疗。

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