钝性创伤后乳糜胸。
Chylothorax after blunt trauma.
出版信息
J Thorac Dis. 2012 Jun 1;4(3):327-30. doi: 10.3978/j.issn.2072-1439.2011.09.03.
Abstract
Presented is a 50-year-old female who sustained a rare blunt traumatic chylothorax. Traumatic chylothoracies are usually the result of penetrating trauma and disruption of the thoracic duct. Diagnosis and treatment are discussed. The diagnosis is sometimes difficult in the trauma setting due to the possible presence of an underlying hemothorax or empyema and the usual delayed onset of chylothorax. Increased vigilance will allow physicians to properly diagnose and treat this condition early to avoid having to ligate the thoracic duct.
摘要
本文介绍了一位 50 岁女性，她患有罕见的钝性创伤性乳糜胸。创伤性乳糜胸通常是穿透性创伤和胸导管破裂的结果。讨论了诊断和治疗方法。由于可能存在潜在的血胸或脓胸以及乳糜胸的通常延迟发作，在创伤环境中诊断有时较为困难。提高警惕将使医生能够及早正确诊断和治疗这种情况，以避免不得不结扎胸导管。
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