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食管切除术后纵隔乳糜胸导致上气道梗阻误诊为哮喘:两例报告

Postesophagectomy mediastinal chylothorax causing upper airway obstruction misdiagnosed as asthma: a report of two cases.

作者信息

Theaker N J, Brady P W, Fisher M M

机构信息

Department of Anesthetics, City General Hospital, Staffordshire, England.

出版信息

Chest. 1997 Apr;111(4):1126-8. doi: 10.1378/chest.111.4.1126.

DOI:10.1378/chest.111.4.1126
PMID:9106601
Abstract

Injury to the thoracic duct resulting in chylothorax is an uncommon but well-documented complication of esophagectomy. In two cases, which were associated with signs of life-threatening upper airway obstruction, an initial diagnosis of asthma was made. It appears that this complication of esophagectomy has not been reported previously.

摘要

胸导管损伤导致乳糜胸是食管切除术中一种罕见但有充分文献记载的并发症。在两例伴有危及生命的上呼吸道梗阻体征的病例中,最初诊断为哮喘。看来这种食管切除术的并发症以前尚未见报道。

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1
Postesophagectomy mediastinal chylothorax causing upper airway obstruction misdiagnosed as asthma: a report of two cases.食管切除术后纵隔乳糜胸导致上气道梗阻误诊为哮喘:两例报告
Chest. 1997 Apr;111(4):1126-8. doi: 10.1378/chest.111.4.1126.
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[Postoperative bilateral chylomediastinum and chylothorax. (Therapeutic considerations)].[术后双侧乳糜纵隔和乳糜胸。(治疗考量)]
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引用本文的文献

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Rare complications after esophagectomy: incidence, clinical features, risk factors, management, and prevention.食管癌切除术后的罕见并发症:发生率、临床特征、危险因素、处理及预防
Therap Adv Gastroenterol. 2025 Aug 18;18:17562848251366238. doi: 10.1177/17562848251366238. eCollection 2025.
2
Post-oesophagectomy chylothorax: An unusual cause of postoperative stridor.食管切除术后乳糜胸:术后喘鸣的罕见原因。
Indian J Anaesth. 2021 Apr;65(4):345-347. doi: 10.4103/ija.IJA_1130_20. Epub 2021 Apr 15.