Flechsenhar K, Reinhold L, Zimmermann T, Buhr J, Vollerthun M, Henneking K
Abteilung für Allgemein- und Thoraxchirurgie, Justus-Liebig-Universität Giessen.
Chirurg. 1997 Sep;68(9):936-40. doi: 10.1007/s001040050300.
We report on a patient who suffered chylothorax 2 months after she had undergone internal fixation of a fracture of her 12th thoracic vertebral body. The pleural effusion was treated by insertion of a chest tube. The chylothorax was managed conservatively. The patient received protein-rich nutrition supplemented with medium-chain triglycerides. As the volume of chylous fluid drained from the pleura had not decreased after 2 weeks, the patient received total parenteral nutrition without any oral intake of calories. Chest X-rays documented the disappearance of the chylothorax. Reexpansion of the lungs was noted, and the costophrenic sinuses could be clearly visualised.
我们报告了一名患者，她在第12胸椎椎体骨折内固定术后2个月出现了乳糜胸。通过插入胸管对胸腔积液进行了治疗。乳糜胸采用保守治疗。患者接受了富含蛋白质并补充中链甘油三酯的营养。由于从胸膜引流的乳糜液量在2周后没有减少，患者接受了全胃肠外营养，没有经口摄入任何热量。胸部X光片显示乳糜胸消失。肺部复张，肋膈窦清晰可见。
