Kanjanauthai Somsupha, Kanluen Tony, Bergman Michael
Department of Internal Medicine, Henry Ford Hospital, 2799 West Grand Blvd, CFP-1, Detroit, MI, United States.
Heart Lung Circ. 2009 Feb;18(1):55-6. doi: 10.1016/j.hlc.2007.10.001. Epub 2008 Jan 30.
Chylothorax is an accumulation of chyle in the pleural space due to disruption or blockage of the thoracic duct or its lymphatic tributaries. The thoracic duct carries chyle, which is defined as lymphatic fluid of intestinal origin, to the bloodstream. Chylothorax can occur due to traumatic or non-traumatic a etiologies. Chylothorax is a known complication of thoracic surgery and can occur after significant trauma. However, tension chylothorax is an extremely rare and life threatening complication after thoracic surgery. We describe a patient who developed tension chylothorax 2 weeks after a left pneumonectomy was performed. Early recognition and prompt treatment of this life threatening entity are essential.
乳糜胸是由于胸导管或其淋巴分支的破裂或阻塞，导致乳糜在胸腔内积聚。胸导管将乳糜（定义为源自肠道的淋巴液）输送到血液循环中。乳糜胸可由创伤性或非创伤性病因引起。乳糜胸是胸外科手术的一种已知并发症，可在严重创伤后发生。然而，张力性乳糜胸是胸外科手术后一种极其罕见且危及生命的并发症。我们描述了一名患者，在接受左肺切除术后2周发生了张力性乳糜胸。对这种危及生命的情况进行早期识别和及时治疗至关重要。
