Saraceno C A, Farrior R T
Arch Otolaryngol. 1981 Aug;107(8):497-9. doi: 10.1001/archotol.1981.00790440037011.
Bilateral chylothorax is an extremely serious complication that affects the cardiorespiratory system and places the patient in serious danger of respiratory collapse. In cases of postoperative chyle fistula or chylomas, one should consider the possibility of chylothorax. Chest film and, subsequently, diagnostic thoracentesis can provide the diagnosis. Conservative treatment, such as repeated thoracentesis, low-triglyceride diet, and possibly closed thoracostomy tube drainage, should be used. The surgical approach for the ligation of the thoracic duct should be reserved for cases that do not respond to the previously mentioned conservative measures.
双侧乳糜胸是一种极其严重的并发症，会影响心肺系统，使患者面临呼吸衰竭的严重危险。对于术后乳糜瘘或乳糜瘤病例，应考虑乳糜胸的可能性。胸部X光片以及随后的诊断性胸腔穿刺可提供诊断。应采用保守治疗，如反复胸腔穿刺、低甘油三酯饮食，以及可能的胸腔闭式引流管引流。胸导管结扎的手术方法应仅用于对上述保守措施无反应的病例。
