Rubin J W, Moore H V, Ellison R G
Am Surg. 1977 May;43(5):292-7.
Persistent loss of chyle, rich in metabolites, water and electrolytes, can be quickly devastating, particularly in debilitated patients and children. Chylothorax of traumatic origin, especially when loss of chyle is rapid, is most effectively arrested with direct closure of the fistula or ligation of the thoracic duct. Thoracic duct ligation is indicated when a controlled fat diet or parenteral hyperalimentation without oral intake and closed chest drainage are not effective in arresting chylous pleural effusions.
持续丢失富含代谢产物、水和电解质的乳糜，可能会迅速造成严重损害，尤其是在身体虚弱的患者和儿童中。创伤性乳糜胸，特别是当乳糜丢失迅速时，通过直接闭合瘘口或结扎胸导管能最有效地阻止。当控制脂肪饮食或不口服摄入的胃肠外高营养以及闭式胸腔引流不能有效阻止乳糜性胸腔积液时，应进行胸导管结扎。
