Eisenstein S, O'Brien J P
Br J Surg. 1977 May;64(5):339-41. doi: 10.1002/bjs.1800640511.
The authors report the development of an extensive right chylothorax several days after Dwyer's anterior instrumentation in a 6-year-old girl with a severe progressing infantile scoliosis. Instrumentation extended from T11 to L4 with removal of the tenth rib and with splitting of the diaphragm. The postoperative course was initially without any problems. However, respiratory distress on the tenth day after surgery was accompanied by mediastinal shift and the symptoms were relieved with aspiration of 600 ml of chyle from the right pleural cavity. The literature on this complication of chylothorax is reviewed; it has been observed in cardiothoracic surgery. The management of the case is reported in detail and methods of detection and treatment are discussed.
作者报告了一名6岁患有严重进行性婴儿脊柱侧凸的女孩在德怀尔前路器械固定术后数天出现广泛右乳糜胸的情况。器械固定范围从T11至L4，切除了第十肋骨并切开了膈肌。术后初期过程无任何问题。然而，术后第10天出现呼吸窘迫，伴有纵隔移位，通过从右胸腔抽出600毫升乳糜，症状得到缓解。本文回顾了有关乳糜胸这一并发症的文献；该并发症已在心胸外科手术中观察到。详细报告了该病例的处理情况，并讨论了检测和治疗方法。
