经腋前线第一肋骨切除术后乳糜胸：胸廓出口综合征。
Chylothorax post transaxillary first rib resection for thoracic outlet syndrome.
机构信息
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Department of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada.
出版信息
BMJ Case Rep. 2021 Mar 8;14(3):e236006. doi: 10.1136/bcr-2020-236006.
Abstract
We present a patient who developed high output chyle leak post left transaxillary first rib resection for venous thoracic outlet syndrome. The high output chylorrhoea was successfully treated by conservative measures, bed rest, parenteral nutrition and low-fat diet. The patient was discharged after an 18-day hospital stay with a complete resolution of his chylous fistula prior to discharge. This is the first documented chylothorax post transaxillary first rib resection likely due to anomalous chyle anatomy.
摘要
我们报告了 1 例患者，其因静脉型胸廓出口综合征行左腋前线第 1 肋骨切除术后出现高输出乳糜漏。通过保守治疗、卧床休息、肠外营养和低脂饮食成功治疗了高输出乳糜漏。患者在住院 18 天后出院，出院前乳糜瘘完全愈合。这是首例经腋前线第 1 肋骨切除术后乳糜胸，可能与异常乳糜解剖有关。
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