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经胸导管栓塞治疗双侧创伤性乳糜胸:一种罕见问题的罕见治疗方法。

Bilateral traumatic chylothorax treated by thoracic duct embolization: a rare treatment for an uncommon problem.

机构信息

Mayo Clinic - Gonda Vascular Center, Rochester, MN 55905, USA.

出版信息

Vasc Med. 2011 Aug;16(4):284-7. doi: 10.1177/1358863X11408747. Epub 2011 Jun 27.

Abstract

Prolonged chylothorax is a rare, life-threatening, pleural effusion that may be encountered in the setting of trauma. Conservative treatment may be successful and is the traditional approach in cases of limited chyle output. Early surgical intervention is required in cases with large refractory chyle output, but may be associated with substantial morbidity and mortality. Percutaneous thoracic duct embolization is an uncommon, minimally invasive, safe and effective treatment alternative. We report a case of successful thoracic duct embolization to treat large-volume chylothorax due to blunt trauma.

摘要

乳糜胸是一种罕见的、危及生命的胸腔积液,可能发生在创伤环境中。保守治疗可能成功,并且是在乳糜液输出有限的情况下的传统方法。对于大量难治性乳糜液输出的病例,需要早期手术干预,但可能与较高的发病率和死亡率相关。经皮胸导管栓塞是一种罕见的、微创、安全且有效的治疗选择。我们报告了一例成功的经皮胸导管栓塞治疗因钝性创伤引起的大量乳糜胸的病例。

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