Gartside R, Hebert J C
Department of Surgery, University of Vermont College of Medicine, Burlington.
Injury. 1988 Sep;19(5):363-4. doi: 10.1016/0020-1383(88)90116-7.
Chylothorax is an uncommon occurrence seen most frequently in patients with malignancy. We report a case of chylothorax following fracture-dislocation of the thoracolumbar spine, the ninth reported case in the English literature. Seven cases of chylothorax were identified in a 12-year period at our institution. A total 925 patients sustained fractures of the thoracic or lumbar spine during this period, and this was the only case associated with chylothorax. We have reviewed the literature, and recommend conservative management utilizing closed thoracotomy drainage and total parenteral nutrition for at least 2 weeks. If chyle flow has not diminished by that time then thoracic duct ligation should be considered.
乳糜胸是一种罕见病症，最常出现在恶性肿瘤患者中。我们报告一例胸腰椎骨折脱位后发生的乳糜胸，这是英文文献中报道的第九例。在我们机构的12年期间共确诊7例乳糜胸。在此期间，共有925例患者发生胸椎或腰椎骨折，而这是唯一一例与乳糜胸相关的病例。我们回顾了相关文献，并建议采用闭式胸腔引流和全胃肠外营养进行至少2周的保守治疗。如果届时乳糜流量没有减少，则应考虑进行胸导管结扎术。
