Merrigan B A, Winter D C, O'Sullivan G C
Department of Surgery, Mercy Hospital and University College Cork, Ireland.
Br J Surg. 1997 Jan;84(1):15-20.
Chylothorax is a condition that is debilitating to the point of threatening life. There is controversy over its management, in particular the relative merits of conservative measures and the timing of surgical intervention.
The literature is reviewed from the basic sciences of chyle composition and flow, to diagnostic approaches, the complications of chyle loss and appropriate management strategies.
Prompt diagnosis is essential to institute an effective therapeutic regimen. Surgery achieves fast, safe and effective reversal of this dire situation. Minimally invasive thoracoscopic techniques are gaining wide recognition. Early intervention, which should be aggressive and complete to avoid the immune and nutritional consequences of extended chyle depletion, is recommended.
乳糜胸是一种使人虚弱到危及生命的病症。其治疗存在争议，尤其是保守措施的相对优点以及手术干预的时机。
回顾了从乳糜成分和流动的基础科学到诊断方法、乳糜丢失的并发症以及适当管理策略的文献。
及时诊断对于制定有效的治疗方案至关重要。手术能够快速、安全且有效地扭转这种危急情况。微创胸腔镜技术正获得广泛认可。建议进行早期干预，这种干预应积极且彻底，以避免长期乳糜消耗带来的免疫和营养后果。
