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肺切除术后并发乳糜胸的相关因素及诊治对策
http://www.100md.com 《中华医学实践杂志》 2003年第4期
乳糜胸,肺癌,肺切除术,乳糜胸
     【摘要】 目的 探讨乳糜胸的成因、诊断、治疗及再手术指征和手术方式的有关问题。方法 笔者根据1954年1月~2001年12月我院胸外科行肺切除术12035例,并发乳糜胸11例(男8例,女3例,平均年龄48.3岁),采取保守治疗6例、手术治疗5例。结果 9例痊愈,1例并发呼衰死亡,另1例术后3月因脑转移而死亡。结论 乳糜胸应根据胸腔引流合理选择保守治疗或手术治疗。

    关键词 肺癌 肺切除术 乳糜胸

    Factors relative to postoperative chylothorax of lung diseases and its treatment

    Zhu Yuntao,Xie Boxiong,Ding Jia’an.

    Department of Thoracic Surgery,the First Hospital Attached to Dalian Medical University,Dalian116011.

    【Abstract】 Objective To explore the reason,diagonsis,management of chylothorax,indication of ligation of thoracic duct and operative methods.Methods From1954.1to2001.12,11patients with chylothorax after pulˉmonary section were treated.There were8males and3famales with a mean age of48.3years.6cases adopted conserˉvative therapy and5cases were underwent reoperation.Results 9cases were cured,1case complicated with respiraˉtory failure was dead and the other died ofbrain metastasis after three months.Conclusion In treating chylothorax ......

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