钝性胸部创伤后乳糜胸的处理

Management of chylothorax after blunt chest trauma.

作者信息

Dulchavsky S A, Ledgerwood A M, Lucas C E

机构信息

Department of Surgery, Detroit Receiving Hospital, Wayne State University, Michigan 48201.

出版信息

J Trauma. 1988 Sep;28(9):1400-1. doi: 10.1097/00005373-198809000-00018.

DOI:10.1097/00005373-198809000-00018

PMID:3418769

Abstract

Chylothorax following blunt chest trauma is rare; we found only 19 cases reported. We describe an unusual patient with chylothorax from closed chest injury. The diagnosis is made from thoracentesis or tube thoracostomy fluid. Thoracostomy in the definitive therapeutic modality. Nonoperative or, when necessary, operative treatment of chylothorax after blunt trauma can lead to a successful outcome in 90% of cases.

摘要

钝性胸部创伤后乳糜胸较为罕见；我们仅发现19例相关报道。我们描述了一名因闭合性胸部损伤导致乳糜胸的特殊患者。诊断通过胸腔穿刺术或胸腔闭式引流液进行。胸腔闭式引流是确定性治疗方式。钝性创伤后乳糜胸的非手术治疗或必要时的手术治疗在90%的病例中可取得成功结果。