Kim Jinsik, Chang Jee Won, Kim Su Wan, Lee Seogjae
Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju, South Korea.
J Thorac Dis. 2016 Mar;8(3):E255-7. doi: 10.21037/jtd.2016.01.65.
Bilateral chylothorax after transsternal total thymectomy is very rare, but can be a serious complication. Disruption of minor lymphatic channels in the anterior mediastinum which is remote from thoracic duct is considered to be the cause of chylothorax. We report the case of bilateral chylothorax followed by thymectomy which was treated with pleural drainage, total parenteral nutrition, and fasting without octreotide injection.
经胸骨全胸腺切除术后双侧乳糜胸非常罕见，但可能是一种严重的并发症。远离胸导管的前纵隔内小淋巴管破裂被认为是乳糜胸的病因。我们报告了一例全胸腺切除术后发生双侧乳糜胸的病例，该病例采用胸腔引流、全胃肠外营养及禁食治疗，未注射奥曲肽。
