Puntis J W, Roberts K D, Handy D
Arch Dis Child. 1987 Jun;62(6):593-6. doi: 10.1136/adc.62.6.593.
The management and complications of chylothorax occurring beyond the neonatal period were reviewed retrospectively. Records from 15 patients treated between 1976 and 1986 were analysed; a combination of thoracocentesis, chest drain insertion, and dietary modification were successful in abolishing chyle leakage in 10 cases. One child died from complications of cardiac surgery rather than from the chylothorax, and surgical intervention was necessary in the remaining four patients and included pleurectomy in three and thoracic duct ligation in the fourth. Lymphopenia, hypoalbuminaemia, hyponatraemia, and weight loss were the most common complications of conservative management and tended to occur in those patients with the longest duration of drainage. Postoperative recovery after pleurectomy and thoracic duct ligation was uneventful. We conclude that conservative management of chylothorax will be successful in most cases. Complications of such a policy are fairly common but rarely serious.
对新生儿期后发生的乳糜胸的管理及并发症进行了回顾性研究。分析了1976年至1986年间治疗的15例患者的记录；胸腔穿刺、胸腔引流管置入和饮食调整相结合，成功消除了10例患者的乳糜漏。1名儿童死于心脏手术并发症而非乳糜胸，其余4例患者需要手术干预，其中3例行胸膜切除术，1例行胸导管结扎术。淋巴细胞减少、低白蛋白血症、低钠血症和体重减轻是保守治疗最常见的并发症，且往往发生在引流时间最长的患者中。胸膜切除术和胸导管结扎术后恢复顺利。我们得出结论，大多数情况下乳糜胸的保守治疗会成功。这种治疗策略的并发症相当常见，但很少严重。
