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[应用醋酸奥曲肽成功治疗一例乳糜胸,该乳糜胸表现为主动脉缩窄手术治疗后的并发症;病例报告]

[Successful treatment of a case of chylothorax, manifesting as a complication following surgical treatment of coarctation of the aorta, by using octreotide acetate; report of a case].

作者信息

Matsushita Hiroshi, Hanayama Naoji

机构信息

Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.

出版信息

Kyobu Geka. 2014 Feb;67(2):149-52.

Abstract

Chylothorax - a serious postoperative complication of thoracic surgery - is associated with high morbidity and mortality, and re-exploration is required in many such cases. A 33-year-old male patient had undergone an extra-anatomic bypass for the treatment of coarctation of the aorta. Persistent chylothorax developed as a complication postoperatively. Octreotide acetate was administered 11 days postoperatively, which resolved the chylothorax without the need for surgical intervention. The patient was discharged from our hospital without any complications at 40 days postoperatively. In the present report, we describe this case and a provide a review of the literature.

摘要

乳糜胸——胸外科手术严重的术后并发症——与高发病率和死亡率相关,许多此类病例需要再次手术探查。一名33岁男性患者接受了主动脉缩窄的解剖外旁路手术。术后出现持续性乳糜胸并发症。术后11天给予醋酸奥曲肽,乳糜胸得以缓解,无需手术干预。患者术后40天从我院出院,无任何并发症。在本报告中,我们描述了该病例并对文献进行了综述。

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