Delaney A, Daicoff G R, Hess P J, Victorica B
Chest. 1976 Mar;69(3):381-3. doi: 10.1378/chest.69.3.381.
Two patients developed postoperative chylopericardium leading to acute cardiac tamponade. Delayed diagnosis and urgent throacotomy did not prevent death in three-month-old patient after the Glenn anastomosis of the superior vena cava to the right pulmonary artery, whereas early recognition of chylopericardium following repair of an interrupted aortic arch in an 11-week-old patient was successfully treated by tube pericardiostomy. The literature is reviewed, and an anatomic predisposition for post-surgical chylopericardium is proposed.
两名患者术后发生乳糜心包，导致急性心脏压塞。一名3个月大的患者在进行上腔静脉与右肺动脉的格伦吻合术后，诊断延迟且紧急开胸手术未能避免死亡；而一名11周大的患者在修复中断的主动脉弓后，早期识别出乳糜心包，通过心包置管引流术成功治愈。本文对相关文献进行了综述，并提出了术后乳糜心包的解剖学易患因素。
