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一颗引发乳糜胸和乳糜痰的奇异子弹。

A strange bullet which caused chylomediastinum and chyloptysis.

作者信息

Yazicioglu Alkin, Yazici Ulku, Aydin Ertan, Karaoglanoglu Nurettin

机构信息

Department of Thoracic Surgery, Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.

出版信息

Thorac Cardiovasc Surg. 2014 Jun;62(4):372-4. doi: 10.1055/s-0032-1311543. Epub 2012 Oct 3.

DOI:10.1055/s-0032-1311543
PMID:23034876
Abstract

Chyloptysis and chylomediastinum are uncommon complications of various kinds of thoracic operations, malign and nonmalign diseases. In the English language medical literature, there were no cases of both chylomediastinum and chyloptysis following trauma. We discuss a case of chylomediastinum and chyloptysis after penetrating trauma. The patient sustained a bullet wound that caused chylomediastinum and chyloptysis without damaging major structures apart from the thoracic duct in the mediastinum. Following surgical intervention, the patient has remained problem-free for 5 months.

摘要

乳糜痰和乳糜胸是各类胸科手术、恶性和非恶性疾病的罕见并发症。在英文医学文献中,尚无创伤后同时发生乳糜胸和乳糜痰的病例。我们讨论一例穿透性创伤后发生乳糜胸和乳糜痰的病例。患者遭受枪伤,除纵隔内胸导管外未损伤主要结构,却导致了乳糜胸和乳糜痰。经过手术干预,患者已5个月无问题。

相似文献

1
A strange bullet which caused chylomediastinum and chyloptysis.一颗引发乳糜胸和乳糜痰的奇异子弹。
Thorac Cardiovasc Surg. 2014 Jun;62(4):372-4. doi: 10.1055/s-0032-1311543. Epub 2012 Oct 3.
2
[Chylothorax after blunt thoracic trauma].钝性胸部创伤后乳糜胸
Chirurg. 1995 Feb;66(2):127-30.
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Surgical management of chylothorax.乳糜胸的外科治疗
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Surgical Management of Chyloptysis.乳糜胸的外科治疗。
Ann Thorac Surg. 2018 Feb;105(2):e79-e81. doi: 10.1016/j.athoracsur.2017.09.017.
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Removal of a bullet in the pericardial cavity by video-assisted thoracoscopic surgery.通过电视辅助胸腔镜手术取出心包腔内的子弹。
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Combined late diagnosed right main bronchial disruption and chylothorax from blunt chest trauma.迟发性诊断的钝性胸部创伤合并右主支气管断裂和乳糜胸
Ann Thorac Surg. 2004 Oct;78(4):e61-2. doi: 10.1016/j.athoracsur.2003.08.070.
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[The clinical picture and treatment of injuries to the thoracic duct].[胸导管损伤的临床表现与治疗]
Vestn Khir Im I I Grek. 1971 Apr;106(4):99-102.
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'Chyloma': a persistent post-traumatic collection in the left supraclavicular region.“乳糜瘤”:左锁骨上区域的创伤后持续性积液。
J Trauma. 1987 May;27(5):567-9.
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[Diagnosis and treatment of lung injuries].
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The diagnostic value of spectral CT plain scan after direct lymphangiography in chylothorax as an applicable tool.直接淋巴管造影术后光谱CT平扫在乳糜胸诊断中的应用价值作为一种适用工具。
Quant Imaging Med Surg. 2025 May 1;15(5):4478-4486. doi: 10.21037/qims-24-1472. Epub 2025 Apr 25.
2
Chyloptysis as a delayed sequela of penetrating thoracic trauma.乳糜痰作为穿透性胸部创伤的迟发性后遗症。
JTCVS Tech. 2021 Jul 21;9:180-182. doi: 10.1016/j.xjtc.2021.07.007. eCollection 2021 Oct.
3
Chyloptysis with chylopericardium, a rare case and mini-review.
乳糜性胸腔积气伴乳糜性心包积液,罕见病例并文献复习。
BMC Pulm Med. 2018 Jan 29;18(1):21. doi: 10.1186/s12890-018-0583-y.