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乳糜胸的非保守治疗

Non-conservative Management of Chylothorax.

作者信息

Ahn Hyo Yeong, I Hoseok

机构信息

Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.

出版信息

J Chest Surg. 2021 Aug 5;54(4):325-329. doi: 10.5090/jcs.21.056.

Abstract

Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

摘要

乳糜胸是由淋巴渗漏引起的,可在胸外科手术后发生并与癌症相关。尽管尚未进行前瞻性随机试验,但对于几例持续性乳糜胸患者,在进行2周保守治疗的同时,也实施了放射学干预措施。由于解剖结构的差异,此类干预措施的成功率各不相同,不过结果很有希望。然而,在经过多个周期的干预治疗失败的病例中,可能需要采用团队协作的方法来确定是否有必要进行手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5db/8350472/3c8ae978f913/jcs-54-4-325-f1.jpg

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