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婴儿淋巴管瘤切除术后乳糜漏：一种罕见的术后并发症。

Chylous Leak after Cystic Hygroma Excision in an Infant: A Rare Postoperative Complication.

作者信息

Shah Amar, Momin Aryan S, Sharma Ria, Shah Anirudh

机构信息

Neonatal and Pediatric Surgeon, Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India.

出版信息

J Indian Assoc Pediatr Surg. 2024 Nov-Dec;29(6):648-650. doi: 10.4103/jiaps.jiaps_126_24. Epub 2024 Nov 5.

DOI:10.4103/jiaps.jiaps_126_24
PMID:39691919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649057/
Abstract

Postoperative chylous leak is a rare but serious complication of any head-and-neck surgery. It can lead to metabolic imbalance, prolonged wound healing, wound dehiscence, and hospitalization. We present the case of a 9-month-old girl operated for a left cervical cystic hygroma who had a chylous leak requiring surgical management. This is probably one of the first reported cases of chylous leak following the excision of cystic hygroma in an infant.

摘要

术后乳糜漏是任何头颈外科手术中一种罕见但严重的并发症。它可导致代谢失衡、伤口愈合延长、伤口裂开及住院时间延长。我们报告一例9个月大的女童，因左侧颈部囊状水瘤接受手术，术后出现乳糜漏，需要手术治疗。这可能是首例报道的婴儿囊状水瘤切除术后发生乳糜漏的病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e639/11649057/f6825ee9ca8d/JIAPS-29-648-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e639/11649057/f6825ee9ca8d/JIAPS-29-648-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e639/11649057/f6825ee9ca8d/JIAPS-29-648-g001.jpg

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本文引用的文献

1
Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies.头颈部手术后乳糜漏的管理：当前治疗策略综述
Int J Otolaryngol. 2017;2017:8362874. doi: 10.1155/2017/8362874. Epub 2017 Jan 19.
2
Systematic management of chyle fistula: the Southwestern experience and review of the literature.乳糜瘘的系统管理：西南地区的经验及文献综述
Otolaryngol Head Neck Surg. 2000 Jan;122(1):31-8. doi: 10.1016/S0194-5998(00)70174-4.
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Systematic approach to the treatment of chylous leakage after neck dissection.
颈部清扫术后乳糜漏治疗的系统方法
Head Neck. 1996 Jul-Aug;18(4):347-51. doi: 10.1002/(SICI)1097-0347(199607/08)18:4<347::AID-HED6>3.0.CO;2-Y.
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Chyle fistula management.乳糜瘘的处理
Otolaryngol Head Neck Surg. 1981 Jul-Aug;89(4):575-8. doi: 10.1177/019459988108900413.
5
Anatomical variations of the cervical portion of the thoracic duct in man.人体胸导管颈部的解剖变异
J Anat. 1973 May;115(Pt 1):45-52.
6
Lipid and volume analysis of neck drainage in patients undergoing neck dissection.颈部清扫术患者颈部引流液的脂质和容量分析
Am J Otolaryngol. 1992 Sep-Oct;13(5):306-9. doi: 10.1016/0196-0709(92)90053-v.
7
Postoperative chylous fistula prevention and management.术后乳糜瘘的预防与管理。
Laryngoscope. 1976 Jun;86(6):804-13. doi: 10.1288/00005537-197606000-00008.