Abdel-Galil Khalid, Milton Richard, McCaul James
Oral & Maxillofacial Surgery, Bradford Teaching Hospitals NHS Foundation Trust, St. Luke's Hospital, Little Horton Way, Bradford, BD5 0NA, UK.
Br J Oral Maxillofac Surg. 2009 Sep;47(6):478-80. doi: 10.1016/j.bjoms.2009.04.030. Epub 2009 Jun 2.
Injury to the thoracic duct leading to formation of a chylous fistula is an infrequent but serious complication of major neck surgery that can result in a prolonged stay in hospital, and may lead to fluid, electrolyte, protein, and immune disturbances. Healing can also be impaired. We describe a case where an excessive chylous leak also contributed to the failure of two free flaps in the same patient, and we make recommendations regarding management of patients with free tissue transfer where this complication arises.
胸导管损伤导致乳糜瘘形成是颈部大手术中一种罕见但严重的并发症，可导致住院时间延长，并可能引起液体、电解质、蛋白质和免疫紊乱。愈合也可能受到影响。我们描述了一例病例，其中过多的乳糜漏也导致了同一患者的两个游离皮瓣失败，并且我们针对出现这种并发症的游离组织移植患者的管理提出了建议。
