Ajanwachuku V E, Siram S M, Warner O G, Leffall L D
J Natl Med Assoc. 1986 Nov;78(11):1102-4.
Loss of integrity of the thoracic duct will produce a chylous thoracic effusion. latrogenic chylothorax occurring during an intrathoracic surgical procedure in the vicinity of the thoracic duct is an omnipresent reality. The fluid is characteristically milky in appearance, sterile, and high in fat content.There seems to be a general agreement that initial management be conservative, namely, dietary control and adequate drainage. The success of conservative management will depend on collateral lymphatic channels developing. If conservative measures fail, thoracotomy for ligation of the duct is indicated. When to terminate nonoperative therapy and opt for operative is controversial.
胸导管完整性丧失会导致乳糜胸。在胸导管附近进行胸腔内手术期间发生的医源性乳糜胸是一个普遍存在的现实。这种液体的特征是外观呈乳白色、无菌且脂肪含量高。似乎普遍认为初始治疗应采取保守方法，即饮食控制和充分引流。保守治疗的成功将取决于侧支淋巴管的形成。如果保守措施失败，则需进行开胸手术结扎胸导管。何时终止非手术治疗并选择手术治疗存在争议。
