Martucci Nicola, Tracey Maura, Rocco Gaetano
Division of Thoracic Surgery, Department of Thoracic Surgery and Oncology, Istituto Nazionale Tumori, Fondazione Pascale, IRCCS, Via Semmola 81, Naples 80131, Italy.
Division of Thoracic Surgery, Department of Thoracic Surgery and Oncology, Istituto Nazionale Tumori, Fondazione Pascale, IRCCS, Via Semmola 81, Naples 80131, Italy.
Thorac Surg Clin. 2015 Nov;25(4):523-8. doi: 10.1016/j.thorsurg.2015.07.014. Epub 2015 Sep 8.
Chylothorax is an unusual but serious complication of thoracic surgical procedures, and may carry considerable morbidity if not addressed in a timely fashion. Thoracic surgeons should be able to promptly diagnose this complication, and understand the implications of prolonged chyle loss to the patient. Conservative measures are often successful; direct intervention with percutaneous embolization of the cisterna chyli or thoracoscopic ligation is reserved for refractory cases. Some controversy exists regarding the timing of reintervention to limit the accumulated chyle loss. Prophylactic thoracic duct ligation has been examined but to date does not seem to reduce the incidence of chylothorax.
乳糜胸是胸外科手术中一种罕见但严重的并发症，如果不及时处理，可能会导致相当高的发病率。胸外科医生应能够迅速诊断出这种并发症，并了解长期乳糜流失对患者的影响。保守治疗措施通常是成功的；对于难治性病例，则采用经皮栓塞乳糜池或胸腔镜结扎等直接干预措施。关于再次干预的时机以限制累积的乳糜流失存在一些争议。预防性胸导管结扎术已被研究，但迄今为止似乎并未降低乳糜胸的发生率。
