[术后乳糜胸的无脂饮食评估]
[Assessment of Fat-free Diet for Postoperative Chylothorax].
作者信息
Furukawa Masashi, Hara Akio, Miyazaki Ryohei, Yokoyama Shintaro, Hayashi Masataro, Tao Hiroyuki, Okabe Kazunori
机构信息
Division of Thoracic Surgery, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Japan.
出版信息
Kyobu Geka. 2018 Dec;71(13):1063-1065.
BACKGROUND
Chylothorax after lung cancer surgery is relatively rare but must be considered as a complication of thoracic surgery.
METHOD
Between January 2012 and June 2017, 818 patients underwent lung cancer surgery at our hospital. Among them, 14 (1.7%) patients with chylothorax were retrospectively reviewed. Three patients were treated with oral intake cessation except water and total parental nutrition( TPN)[TPN group], 11 patients were treated with a fat-free diet( fat-free diet group).
RESULTS
The drainage period was similar in both group [group TPN;13 (1214) days and group fat-free diet;15.7 (642) days]. In the TPN group, 3 patients underwent pleurodesis and no patient needed surgical intervention. In the fat-free diet group, 5 patients improved only with diet management. Pleurodesis was necessary in 5 of which 3 underwent surgical intervention.
CONCLUSIONS
A fat-free diet is useful in treating chylothorax after lung cancer surgery.
背景
肺癌手术后乳糜胸相对少见，但必须被视为胸外科手术的一种并发症。
方法
2012年1月至2017年6月期间，我院818例患者接受了肺癌手术。其中，14例（1.7%）发生乳糜胸的患者接受了回顾性分析。3例患者除饮水外停止经口摄入，并接受全胃肠外营养（TPN）治疗（TPN组），11例患者接受无脂饮食治疗（无脂饮食组）。
结果
两组的引流时间相似[TPN组；13（1214）天，无脂饮食组；15.7（642）天]。TPN组中，3例患者接受了胸膜固定术，无患者需要手术干预。在无脂饮食组中，5例患者仅通过饮食管理得到改善。其中5例患者需要胸膜固定术，3例接受了手术干预。
结论
无脂饮食对治疗肺癌手术后乳糜胸有效。
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