Robinson C L
Ann Thorac Surg. 1985 Jan;39(1):90-5. doi: 10.1016/s0003-4975(10)62531-3.
A series of 15 patients was treated for chylothorax over a 20-year period. The anatomy, physiology, and diseases of the thoracic duct are described, and a plan for the management of chylothorax is presented. If conservative therapy (e.g., aspiration or drainage with restriction of oral intake and intravenous replacement) is not successful after two to three weeks, surgical treatment is necessary and efficacious. The thoracic duct is explored by a full thoracotomy on the side of the effusion. It is readily seen if 6 to 8 oz of a mixture of milk and cream is given to the patient a few hours before operation. The milky fluid drips from the open duct, which is easily oversewn.
在20年的时间里，我们对15例乳糜胸患者进行了治疗。本文描述了胸导管的解剖、生理及相关疾病，并提出了乳糜胸的治疗方案。如果保守治疗（如抽吸或引流，同时限制经口摄入并进行静脉补液）在两到三周后仍未成功，则需要进行手术治疗，且手术治疗是有效的。通过在积液侧进行全胸廓切开术来探查胸导管。如果在手术前几小时给患者饮用6至8盎司牛奶和奶油的混合物，胸导管很容易被看到。乳白色液体从开放的导管中滴出，导管很容易进行缝合。
