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[乳糜胸的治疗]

[Treatment of chylothorax].

作者信息

Schirren M, Sponholz S, Schirren J

机构信息

Klinik für Thoraxchirurgie, AGAPLESION Markus Krankenhaus Frankfurt am Main, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Wilhelm-Epstein-Straße 4, 60431, Frankfurt am Main, Deutschland.

出版信息

Chirurg. 2018 Jul;89(7):563-574. doi: 10.1007/s00104-018-0659-5.

Abstract

Chylothorax is an infrequent but important form of pleural effusion. The most common causes are of postoperative and neoplastic origin. No prospective or randomized trials have been performed to evaluate the available treatment options for chylothorax. The basic principles of conservative treatment include drainage of the effusion and dietary measures. Chylothorax is typically treated conservatively. In the case of failure of conservative treatment, interventional radiological or surgical procedures are applied. Untreated chylothorax has a high morbidity and mortality.

摘要

乳糜胸是一种罕见但重要的胸腔积液形式。最常见的病因是术后和肿瘤源性。目前尚未进行前瞻性或随机试验来评估乳糜胸的现有治疗方案。保守治疗的基本原则包括胸腔积液引流和饮食措施。乳糜胸通常采用保守治疗。若保守治疗失败,则采用介入放射学或外科手术。未经治疗的乳糜胸具有较高的发病率和死亡率。

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