Sarsam M A, Rahman A N, Deiraniya A K
Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester, England.
Ann Thorac Surg. 1994 Mar;57(3):689-90. doi: 10.1016/0003-4975(94)90568-1.
Over a period of 22 years, chylothorax developed in 9 of 1,800 patients who underwent pneumonectomy. Two groups were identified. In group I (n = 5), accelerated opacification of the pneumonectomy space was noted, but the mediastinum remained shifted to the pneumonectomy site. No hemodynamic problems developed and their course was no different from that of other patients who had undergone pneumonectomy. In the second group (group II; n = 4), rapid opacification of the pneumonectomy space was accompanied by mediastinal shift away from the pneumonectomy site and by major hemodynamic and respiratory embarrassment. All 4 patients required surgical intervention to control the chylous leak.
在22年的时间里，1800例行肺切除术的患者中有9例发生了乳糜胸。确定了两组。第一组（n = 5），观察到肺切除腔加速浑浊，但纵隔仍向肺切除部位移位。未出现血流动力学问题，其病程与其他接受肺切除术的患者无异。在第二组（第二组；n = 4）中，肺切除腔迅速浑浊，同时伴有纵隔从肺切除部位移位以及严重的血流动力学和呼吸窘迫。所有4例患者均需要手术干预以控制乳糜漏。
