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白色肺伴乳状积液。

White lung with milky effusion.

作者信息

Zaalouk Tamer Mohamed, Bitar Zouheir Ibrahim, Maadarani Ossama Sajeh, El-Shably ALAsmar Mohammed

机构信息

Critical Care Unit Ahmadi Hospital Kuwait Oil Company Ahmadi Kuwait.

出版信息

Clin Case Rep. 2020 Aug 9;8(12):2557-2560. doi: 10.1002/ccr3.3207. eCollection 2020 Dec.

DOI:10.1002/ccr3.3207
PMID:33363779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7752631/
Abstract

Thoracic duct injury is a rare complication of dorsal spine operations. Ultrasound chest plays an important tool for rapid diagnosis of acute dyspnea, drainage of massive effusion, and daily follow-up. Conservative treatment of postoperative chylous with measures to decrease chylous formation can lead to a resolution of chylothorax.

摘要

胸导管损伤是脊柱后路手术的一种罕见并发症。胸部超声是快速诊断急性呼吸困难、引流大量胸腔积液及日常随访的重要工具。术后乳糜胸采用保守治疗并采取减少乳糜形成的措施可使乳糜胸得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/ecd06dac2962/CCR3-8-2557-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/8aa39081ae89/CCR3-8-2557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/cb554aae827a/CCR3-8-2557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/ecd06dac2962/CCR3-8-2557-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/8aa39081ae89/CCR3-8-2557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/cb554aae827a/CCR3-8-2557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b524/7752631/ecd06dac2962/CCR3-8-2557-g003.jpg

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Modified BLUE protocol ultrasonography can diagnose thrombotic complications of COVID-19 with normal lung ultrasound.改良的BLUE方案超声检查可通过正常的肺部超声诊断COVID-19的血栓形成并发症。
Clin Case Rep. 2021 Mar 28;9(5):e04075. doi: 10.1002/ccr3.4075. eCollection 2021 May.

本文引用的文献

1
Thoracic Duct Injury Following Cervical Spine Surgery: A Multicenter Retrospective Review.颈椎手术后胸导管损伤：一项多中心回顾性研究
Global Spine J. 2017 Apr;7(1 Suppl):115S-119S. doi: 10.1177/2192568216688194. Epub 2017 Apr 1.
2
Incidence and management of chylothorax after esophagectomy.食管癌术后乳糜胸的发生率和处理。
Thorac Cancer. 2015 May;6(3):354-8. doi: 10.1111/1759-7714.12240. Epub 2015 Feb 26.
3
The incidence and management of postoperative chylothorax after pulmonary resection and thoracic mediastinal lymph node dissection.
肺切除和胸纵隔淋巴结清扫术后乳糜胸的发生率及处理。
Ann Thorac Surg. 2014 Jul;98(1):232-5; discussion 235-7. doi: 10.1016/j.athoracsur.2014.03.003. Epub 2014 May 6.
4
Approach to patients with chylothorax complicating pulmonary resection.合并乳糜胸的肺切除患者的处理方法。
Thorac Cardiovasc Surg. 2012 Mar;60(2):135-9. doi: 10.1055/s-0030-1270990. Epub 2011 May 9.
5
Management of chylothorax in adults: when is surgery indicated?成人乳糜胸的管理：何时需要进行手术？
Thorac Cardiovasc Surg. 2011 Jun;59(4):243-6. doi: 10.1055/s-0030-1250374. Epub 2011 Mar 21.
6
Pleural fluid characteristics of chylothorax.乳糜胸的胸腔积液特征
Mayo Clin Proc. 2009 Feb;84(2):129-33. doi: 10.4065/84.2.129.
7
Chylothorax due to tuberculosis lymphadenopathy: report of a case.结核性淋巴结病所致乳糜胸：1例报告
Surg Today. 2008;38(10):938-41. doi: 10.1007/s00595-007-3739-6. Epub 2008 Sep 27.
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Chylothorax.乳糜胸
Emerg Med J. 2007 Feb;24(2):e11. doi: 10.1136/emj.2006.042028.
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Mediastinal lymphangioma: Mayo Clinic experience of 25 cases.纵隔淋巴管瘤：梅奥诊所25例病例经验
Mayo Clin Proc. 2006 Sep;81(9):1197-203. doi: 10.4065/81.9.1197.
10
Thoracic duct variations may complicate the anterior spine procedures.胸导管变异可能会使前路脊柱手术复杂化。
Eur Spine J. 2006 Sep;15(9):1347-51. doi: 10.1007/s00586-006-0082-3. Epub 2006 Mar 17.