Halloul Z, Meyer F, Bürger T, Lippert H
Medizinische Fakultät, Zentrum für Chirurgie, Otto-von-Guericke-Universität Magdeburg.
Vasa. 1995;24(4):377-81.
Less than 1% of all complications following vascular surgery of the abdominal aorta involve the lymphatic system. We report on a case of Chylous ascites following the operation of a ruptured infrarenal aortic aneurysm. The primary therapy, administered over a period of five weeks, consistent of diuretics and substitution by human albumin. However, the chylous flow did not decrease. A surgical intervention by a retroperitoneal ligation to try to stop the lymph flow also failed. Finally a total parental nutrition was followed by decrease and arrest of the lymph flow. Conservative treatment of this complication is considered as therapy of choice.
腹主动脉血管手术后所有并发症中，累及淋巴系统的不到1%。我们报告一例肾下主动脉瘤破裂手术后发生乳糜性腹水的病例。最初治疗为期五周，采用利尿剂和人白蛋白替代治疗。然而，乳糜流量并未减少。通过腹膜后结扎进行手术干预以试图阻止淋巴液流动也失败了。最后，采用全胃肠外营养后，淋巴液流动减少并停止。这种并发症的保守治疗被认为是首选治疗方法。
