颈部淋巴结清扫术后双侧乳糜胸：一例报告
Bilateral chylothorax following neck dissection: a case report.
作者信息
Runge Tina, Borbély Yves, Candinas Daniel, Seiler Christian
机构信息
Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern 3000, Switzerland.
出版信息
BMC Res Notes. 2014 May 22;7:311. doi: 10.1186/1756-0500-7-311.
BACKGROUND
Chylothorax is an extremely rare but potentially life-threatening complication after radical neck dissection. We report the case of a bilateral chylothorax after total thyroidectomy and cervico-central and cervico-lateral lymphadenectomy for thyroid carcinoma.
CASE PRESENTATION
A 40-year-old European woman underwent total thyroidectomy and neck dissection for papillary thyroid carcinoma. Postoperatively she developed dyspnoea and pleural effusion. A chylothorax was found and the initial conservative therapy was not successful. She had to be operated on again and the thoracic duct was legated.
CONCLUSION
The case presentation reports a very rare complication after total thyroidectomy and neck dissection, but it has to be kept in mind to prevent dangerous complications.
背景
乳糜胸是根治性颈部清扫术后极为罕见但可能危及生命的并发症。我们报告一例因甲状腺癌行全甲状腺切除及颈中央和颈外侧淋巴结清扫术后发生双侧乳糜胸的病例。
病例介绍
一名40岁的欧洲女性因乳头状甲状腺癌接受了全甲状腺切除及颈部清扫术。术后她出现呼吸困难和胸腔积液。发现为乳糜胸，初始保守治疗未成功。她不得不再次接受手术，结扎了胸导管。
结论
该病例报告了全甲状腺切除及颈部清扫术后一种非常罕见的并发症，但必须牢记以预防危险并发症。
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