López Espadas F, Iribarren Sarrías J L, Martínez Jiménez C, Fernández Rico R, Lacruz Cañas A, Quesada Suescun A
Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria.
Arch Bronconeumol. 1997 Apr;33(4):168-71.
Chylothorax is a rare condition that even more rarely arises as a result of closed thoracic trauma. We report a series of 6 patients who suffered chylothorax after closed trauma, who were diagnosed early and treated conservatively. Either total parenteral feeding or adjusted enteral feeding, depending with circumstances, was started early such that complications from chylothorax were few. Surgery was required in only one case, and outcomes were satisfactory in all patients, none of whom died.
乳糜胸是一种罕见的病症,因闭合性胸部创伤导致乳糜胸的情况更为罕见。我们报告了一系列6例闭合性创伤后发生乳糜胸的患者,这些患者均得到早期诊断并接受了保守治疗。根据具体情况,早期即开始采用全胃肠外营养或调整后的肠内营养,使得乳糜胸的并发症较少。仅1例患者需要手术治疗,所有患者的治疗结果均令人满意,无一例死亡。