Wagh Sachinkumar, Deshmukh Sanjay, Ankolikar Shrikant
ICU Consultant, Departments of Anaesthesia and Intensive Care, Indrayani Cancer Hospital, Alandi Pune, 412105 Maharashtra, India.
Department of Oncosurgery, Indrayani Cancer Hospital, Alandi Pune, 412105 Maharashtra, India.
J Basic Clin Physiol Pharmacol. 2018 Jul 26;29(4):417-419. doi: 10.1515/jbcpp-2017-0082.
Background Chylothorax is a well-documented complication of thoracic trauma and is associated with high rates of morbidity and mortality. Treatment for chylothorax includes conservative measures (total parenteral nutrition, pleural drainage, and pleurodesis) and surgery (thoracic duct ligation). Case presentation We present the case of a 65-year-old man who developed chylothorax after an elective surgical procedure. In this report conservative treatment aims to reduce chyle flow, to drain the pleural cavity in an effective manner, and to prevent chronic sequelae. Optimal conservative treatment, started immediately upon diagnosis, effectively reduces the need for reoperation and long-term hospitalization, and it might prevent further sequelae of chylothorax. Conclusions The chylothorax was successfully treated conservatively, which may reduce the need for reoperation.
背景 乳糜胸是胸部创伤的一种有充分文献记载的并发症，与高发病率和死亡率相关。乳糜胸的治疗包括保守措施（全胃肠外营养、胸腔引流和胸膜固定术）和手术（胸导管结扎术）。病例报告 我们报告一例65岁男性在择期手术后发生乳糜胸的病例。本报告中，保守治疗旨在减少乳糜流量，有效引流胸腔，并预防慢性后遗症。一旦诊断即立即开始的最佳保守治疗可有效减少再次手术的需求和长期住院时间，并且可能预防乳糜胸的进一步后遗症。结论 乳糜胸通过保守治疗成功治愈，这可能减少再次手术的需求。
