左侧颈清扫术与乳糜胸：一种罕见的并发症及其处理
Left-sided neck dissection and chylothorax: a rare complication and its management.
作者信息
Prabhu V, Passant C
机构信息
Department of ENT, Royal Gwent Hospital, Newport, Wales, UK.
出版信息
J Laryngol Otol. 2012 Jun;126(6):648-50. doi: 10.1017/S002221511200062X.
OBJECTIVE
We present a case of bilateral chylothorax, a rare but life-threatening complication, which developed following a left-sided neck dissection.
METHOD
Case report and literature review.
RESULTS
Chylous leakage fistula is a known complication following neck dissection and occurs in 1 to 2 per cent of patients. After left-sided neck dissection, chylothorax is uncommon and bilateral chylothorax is even rarer. Chylothorax is encountered following certain thoracic procedures, especially superior mediastinal dissection for thyroid cancer treatment. We discuss in detail the successful management of a complicated case.
CONCLUSION
We discuss various management options for this condition, and we summarise its successful management within our department.
目的
我们报告一例双侧乳糜胸病例，这是一种罕见但危及生命的并发症，发生于左侧颈部清扫术后。
方法
病例报告及文献综述。
结果
乳糜漏瘘是颈部清扫术后已知的并发症，发生率为1%至2%。左侧颈部清扫术后，乳糜胸并不常见，双侧乳糜胸更为罕见。在某些胸部手术，尤其是甲状腺癌治疗的上纵隔清扫术后会出现乳糜胸。我们详细讨论了一例复杂病例的成功处理方法。
结论
我们讨论了针对这种情况的各种处理方案，并总结了我们科室对此病例的成功处理经验。
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