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先天性乳糜胸:通过结扎胸导管进行治疗

Congenital chylothorax: management by ligature of the thoracic duct.

作者信息

Andersen E A, Hertel J, Pedersen S A, Sørensen H R

出版信息

Scand J Thorac Cardiovasc Surg. 1984;18(3):193-4. doi: 10.3109/14017438409109890.

DOI:10.3109/14017438409109890
PMID:6528265
Abstract

Congenital chylothorax in a male infant persisted for 10 weeks despite repeated thoracocenteses and dietary regimens which included total parenteral nutrition for 37 days and a peroral semielementary diet with medium-chain triglyceride content for 19 days. Thoracotomy disclosed a small leak in the thoracic duct. The duct was ligated above and below the leak, as attempted repair was unsuccessful. There was no recurrence of pleural effusion after the operation and no distal lymphoedema was observed.

摘要

一名男婴的先天性乳糜胸持续了10周,尽管反复进行胸腔穿刺术并采取了饮食方案,其中包括37天的全胃肠外营养和19天的含中链甘油三酯的口服半要素饮食。开胸手术发现胸导管有一个小渗漏。由于尝试修复未成功,在渗漏上方和下方结扎了导管。术后胸腔积液未复发,也未观察到远端淋巴水肿。

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Congenital chylothorax: management by ligature of the thoracic duct.先天性乳糜胸:通过结扎胸导管进行治疗
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引用本文的文献

1
Successful treatment of familial congenital chylothorax by ligation of the thoracic duct: A case report.通过结扎胸导管成功治疗家族性先天性乳糜胸:一例报告。
Respir Med Case Rep. 2017 Mar 29;21:66-68. doi: 10.1016/j.rmcr.2017.03.017. eCollection 2017.
2
Congenital chylothorax treated with octreotide.用奥曲肽治疗先天性乳糜胸。
Indian J Pediatr. 2005 Oct;72(10):885-8. doi: 10.1007/BF02731124.