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儿童术后持续性乳糜胸的外科治疗

Surgical management of persistent postoperative chylothorax in children.

作者信息

Stringel G, Mercer S, Bass J

出版信息

Can J Surg. 1984 Nov;27(6):543-6.

PMID:6498647
Abstract

Chylothorax occurring postoperatively in children is found most commonly after cardiovascular operations, but may occur after almost any thoracic procedure. Seven cases of postoperative chylothorax seen at the Children's Hospital of Eastern Ontario in Ottawa from 1976 to 1983 are reported. Two resolved with nonoperative management and five required surgical intervention. The authors discuss the clinical presentation, treatment and outcome. They describe a simple, safe and effective method of ligation of the thoracic duct just above the diaphragm.

摘要

小儿术后乳糜胸最常见于心血管手术后,但几乎任何胸部手术都可能发生。本文报告了1976年至1983年在渥太华东安大略儿童医院所见的7例术后乳糜胸病例。2例经非手术治疗痊愈,5例需要手术干预。作者讨论了临床表现、治疗方法及结果。他们描述了一种在膈上方结扎胸导管的简单、安全且有效的方法。

相似文献

1
Surgical management of persistent postoperative chylothorax in children.儿童术后持续性乳糜胸的外科治疗
Can J Surg. 1984 Nov;27(6):543-6.
2
Thoracic duct ligation for persistent chylothorax after pediatric cardiothoracic surgery.小儿心胸外科手术后持续性乳糜胸的胸导管结扎术
Ann Thorac Surg. 2009 Jul;88(1):246-51; discussion 251-2. doi: 10.1016/j.athoracsur.2009.03.083.
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Surgical ligation of cisterna chyli: an alternative treatment for chronic chylothorax in children.手术结扎胸导管:治疗儿童慢性乳糜胸的一种替代方法。
Ann Thorac Surg. 2010 Nov;90(5):1732-4. doi: 10.1016/j.athoracsur.2009.12.019.
4
Early thoracic duct ligation for postoperative chylothorax.术后乳糜胸的早期胸导管结扎术。
J Surg Oncol. 1996 Jan;61(1):56-60. doi: 10.1002/(SICI)1096-9098(199601)61:1<56::AID-JSO12>3.0.CO;2-V.
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[Surgical management of chylothorax: a report of 65 cases].乳糜胸的外科治疗:65例报告
Zhonghua Wai Ke Za Zhi. 1989 Mar;27(3):164-5, 189.
6
Ligation of the thoracic duct for the treatment of chylothorax in heart diseases.结扎胸导管治疗心脏病所致乳糜胸
Arq Bras Cardiol. 2003 Sep;81(3):309-17. Epub 2003 Oct 9.
7
Ligation of the thoracic duct without thoracotomy for the treatment of postoperative chylothorax: a newly designed surgical procedure.不开胸结扎胸导管治疗术后乳糜胸:一种新设计的手术方法
J R Coll Surg Edinb. 1995 Feb;40(1):60-1.
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Surgical management of chylothorax.乳糜胸的外科治疗
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Bilateral chylothorax complicating Mustard repair of transposition of the great vessels.双侧乳糜胸并发大动脉转位的Mustard修复术。
Arch Intern Med. 1982 Oct;142(10):1939-41.
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[Chylothorax after cardiothoracic surgery].[心胸外科手术后的乳糜胸]
Zhonghua Wai Ke Za Zhi. 1990 Apr;28(4):218-9, 252-3.

引用本文的文献

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Chylothorax in newborns after cardiac surgery: a rare complication?心脏手术后新生儿乳糜胸:一种罕见的并发症?
Eur J Pediatr. 2023 Apr;182(4):1569-1578. doi: 10.1007/s00431-023-04808-5. Epub 2023 Jan 17.
2
Anatomical study of the thoracic duct and its clinical implications in thoracic and pediatric surgery, a 70 cases cadaveric study.胸导管的解剖研究及其在胸心外科和儿科外科中的临床意义,70 例尸体研究。
Surg Radiol Anat. 2021 Sep;43(9):1481-1489. doi: 10.1007/s00276-021-02764-z. Epub 2021 May 29.
3
A late presenting left-sided congenital diaphragmatic hernia repair complicated by postoperative chylothorax: A case report.
一例迟发性左侧先天性膈疝修补术后并发乳糜胸的病例报告。
Clin Case Rep. 2020 Nov 11;9(1):350-354. doi: 10.1002/ccr3.3528. eCollection 2021 Jan.
4
Successful management of a chylothorax in infancy using a pleurectomy.采用胸膜切除术成功治疗婴儿乳糜胸。
Pediatr Surg Int. 1996 Mar;11(2-3):166-8. doi: 10.1007/BF00183755. Epub 2013 Sep 21.
5
Chylothorax after neck dissection for thyroid carcinomas: report of three cases.甲状腺癌颈清扫术后乳糜胸:三例报告。
Surg Today. 2012 Jan;42(1):89-92. doi: 10.1007/s00595-011-0015-6. Epub 2011 Nov 11.
6
Thoracoscopic pericardial window creation and thoracic duct ligation in neonates.新生儿胸腔镜下心包开窗术及胸导管结扎术
JSLS. 2003 Oct-Dec;7(4):353-7.
7
Thoracoscopic ligation of the thoracic duct.胸导管的胸腔镜结扎术。
JSLS. 2000 Jul-Sep;4(3):239-42.
8
Thoracoscopic ligation of the thoracic duct.胸腔镜下胸导管结扎术。
Surg Endosc. 1993 Jan-Feb;7(1):52-3. doi: 10.1007/BF00591238.