Korkut A K, Turna A, Metin M, Cuhadaroglu S, Gurses A
Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Department of Thoracic Surgery, Zeytinbumu, Istanbul, Turkey.
Acta Chir Belg. 2006 Jan-Feb;106(1):89-91. doi: 10.1080/00015458.2006.11679842.
Chylomediastinum is a rare but serious complication following thoracic procedures. A 70-year-old woman underwent tracheal resection through median sternotomy. Sternal dehiscence and chylous drainage appeared on the second postoperative week. Oral intake was stopped and total parenteral nutrition was started. Drainage stopped after two weeks. The region was ligated with a purse string suture during revision of sternotomy. A minimal lymph leakage was determined on control Tc-99 lymphoscintigraphy, which indicated injury of the thoracic duct. The patient has been problem-free for 9 months.
乳糜胸是胸部手术后一种罕见但严重的并发症。一名70岁女性接受了经正中胸骨切开术的气管切除术。术后第二周出现胸骨裂开和乳糜引流。停止经口进食并开始全胃肠外营养。两周后引流停止。在胸骨切开术修复过程中，用荷包缝合线结扎该区域。在对照Tc-99淋巴闪烁扫描中确定有微量淋巴漏，提示胸导管损伤。该患者9个月来无任何问题。
