Kohtani T, Ohsuga Y, Sakao T, Akehi S, Kimura S
Second Department of Surgery, Ehime-University, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Sep;42(9):1408-12.
The case was a 17-year-old woman on whom open heart surgery was performed for ASD. Anterior mediastinal drainage alone revealed chyloid liquid, leading to diagnosis as chylomediastium. Ramification of thoracic duct and direct injuries of thymus and lymphoduct were presumed to be responsible for the occurrence of this complication. Operative treatment was positively performed because of its unimprovement by conservative treatment. Re-operation led to its healing in a comparatively short period of time. Idea of disease, cause of occurrence, and plan of treatment of this complication were examined for reporting below.
该病例为一名17岁女性,因房间隔缺损接受了心脏直视手术。仅前纵隔引流就引出了乳糜样液体,从而诊断为乳糜胸。推测胸导管分支以及胸腺和淋巴管的直接损伤是该并发症发生的原因。由于保守治疗无效,积极进行了手术治疗。再次手术使其在相对较短的时间内愈合。下面对该并发症的疾病概念、发生原因及治疗方案进行探讨并报告。