Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
J Vasc Surg Venous Lymphat Disord. 2018 Mar;6(2):237-240. doi: 10.1016/j.jvsv.2017.08.020.
Chylothorax is a challenging disease. We present a case of traumatic chylothorax that was successfully treated using lymphangiography through intranodal injection of contrast agent. A 17-year-old girl had chylothorax. It did not improve despite medical treatment. We performed lymphangiography through intranodal injection of an oil contrast agent (Lipiodol). The amount of chylothorax was reduced from 1000 to 120 mL/d, and we could remove the thoracotomy tube. Thereafter, although she had a small amount of pleural effusion, she has not demonstrated aggravation for 19 months. Lymphangiography with oil contrast agent can be one of the options to treat chylothorax.
乳糜胸是一种具有挑战性的疾病。我们报告了一例创伤性乳糜胸，通过淋巴结内注射造影剂行淋巴管造影成功治疗。一名 17 岁女孩患有乳糜胸，经药物治疗后未见改善。我们通过淋巴结内注射油类造影剂（Lipiodol）行淋巴管造影。乳糜胸的量从 1000 降至 120 mL/d，我们可以拔除胸腔引流管。此后，尽管她仍有少量胸腔积液，但在 19 个月内未出现恶化。油类造影剂淋巴管造影术可能是治疗乳糜胸的一种选择。
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