使用奥曲肽治疗术后高流量乳糜胸。

Administration of octreotide for management of postoperative high-flow chylothorax.

作者信息

Barili Fabio, Polvani Gianluca, Topkara Veli K, Dainese Luca, Roberto Maurizio, Aljaber Emad, Bettoni Massimo, Cheema Faisal H, Trabattuni Piero, Parolapi Alessandro, Spirito Rita, Biglioli Paolo

机构信息

Department of Cardiovascular Surgery, Centro Cardiologico Monzino IRCCS, University of Milan, Milan, Italy.

出版信息

Ann Vasc Surg. 2007 Jan;21(1):90-2. doi: 10.1016/j.avsg.2006.02.001.

DOI:10.1016/j.avsg.2006.02.001

PMID:17349344

Abstract

Chylothorax is a rare complication of adult cardiothoracic surgery that can affect the postoperative course as it can lead to respiratory insufficiency, protein loss, fluid imbalance, and immunodeficiency. We report the case of a 51-year-old man who developed a persistent high-flow chylothorax after replacement of the descending thoracic aorta for an aneurysm. After a week of complete oral intake cessation and total parenteral nutrition, we started administration of octreotide, a somatostatin analog. It led to rapid cessation of chyle production, and the patient was discharged without further complications and chylothorax relapses.

摘要

乳糜胸是成人心胸外科手术中一种罕见的并发症，它会影响术后病程，因为它可能导致呼吸功能不全、蛋白质丢失、液体失衡和免疫缺陷。我们报告一例51岁男性患者，该患者因动脉瘤行降主动脉置换术后出现持续性高流量乳糜胸。在完全停止经口摄入并接受全胃肠外营养一周后，我们开始给予生长抑素类似物奥曲肽。这导致乳糜生成迅速停止，患者出院时未出现进一步并发症，乳糜胸也未复发。