Johnson D C, Cartmill T B
Aust N Z J Surg. 1977 Feb;47(1):94-9. doi: 10.1111/j.1445-2197.1977.tb03944.x.
Three patients aged from three months to six years underwent thoracic duct ligation at the level of the diaphragm for chylothorax which occurred following cardiac operations. Another three-month-old patient underwent thoracic duct ligation for massive postoperative chylopericardium. Indications for operation were a large recurrent chyle accumulation or prolonged chyle drainage. Operative ductograms to deliniate the cisterna chyli and to exclude the presence of multiple lymph channels were performed in three patients. Excellent postoperative results were obtained in all patients for periods of up to two years. Low thoracic dust ligation is a reliable means of control of postoperative chylothorax and lengthy persistence with conservative treatment is no longer necessary.
三名年龄在3个月至6岁之间的患者因心脏手术后发生乳糜胸，在膈肌水平进行了胸导管结扎术。另一名3个月大的患者因术后大量乳糜心包接受了胸导管结扎术。手术指征为大量反复乳糜积聚或乳糜引流时间延长。对三名患者进行了手术导管造影，以描绘乳糜池并排除多条淋巴通道的存在。所有患者术后两年内均取得了良好效果。低位胸导管结扎是控制术后乳糜胸的可靠方法，不再需要长期坚持保守治疗。
