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上臂外伤性截肢后乳糜胸

Chylothorax following traumatic amputation of upper arm.

作者信息

Narasimharao K L, Mitra S K

机构信息

Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Trauma. 1988 May;28(5):711-2. doi: 10.1097/00005373-198805000-00031.

Abstract

A young patient who had traumatic amputation of left arm developed extensive chylothorax on right side of chest. The pathophysiology appears to be left subclavian thrombosis secondary to gross sepsis of the amputation stump which resulted in occlusion of thoracic duct opening and chylothorax. The child was successfully treated by closed chest tube drainage.

摘要

一名年轻患者因左臂外伤性截肢,右侧胸部出现大量乳糜胸。其病理生理机制似乎是截肢残端严重感染继发左锁骨下静脉血栓形成,导致胸导管开口阻塞,进而引发乳糜胸。该患儿通过闭式胸腔引流管引流得到成功治疗。

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