临床外科杂志 ›› 2022, Vol. 30 ›› Issue (1): 92-94.doi: 10.3969/j.issn.1005-6483.2022.01.028

• 论著 • 上一篇    下一篇

儿童颈部淋巴管畸形术后乳糜漏一例并文献复习

  

  1. 430016 武汉,华中科技大学同济医学院附属武汉儿童医院/武汉市妇幼保健院整形颌面外科
  • 出版日期:2022-01-20 发布日期:2022-01-20
  • 通讯作者: 周启星,Email:Zqxing58@163.com

Chylous fistula after operation of cervical lymphatic malformation in a child:a case report and literature review

  1. Department of Plastic Surgery,Wuhan Children’s Hospital,Wuhan Maternal and Child Healthcare Hospital,Tongji Medical College,Huazhong University of Science & Technology,Hubei,Wuhan 430016, China
  • Online:2022-01-20 Published:2022-01-20

摘要: 目的  探讨儿童颈部淋巴管畸形术后乳糜漏发生的原因及防治对策。
方法  本例早期采用局部加压及持续负压引流处理,并辅以禁食、 肠外营养及生长抑素等对症支持治疗。
结果  保守治疗失败后经手术治愈。
结论  儿童颈部淋巴管畸形术后乳糜漏及乳糜胸多数可经保守治疗治愈,如日引流量较大经保守治疗7天无效者应积极采取手术结扎胸导管治疗。

关键词: 乳糜漏, 胸导管

Abstract: Objective  To explore the causes and countermeasures of chylous fistula after neck lymphatic malformation occurred in children patients.
Methods  In this case,at first we  use of local compression and continuous negative pressure drainage treatment,supplemented by fasting,parenteral nutrition and somatostatin and other symptomatic support therapy.
Results  Conservative treatment fails and then be cured by surgery.
Conclusion  Children’s neck lymphatic malformation postoperative chylous fistula and chylothorax most can be cured by conservative treatment.daily lead traffic is larger,more than 7 days after conservative treatment should be should taken operation ligation of thoracic duct treatment actively.

Key words: chylous fistula, thoracic duct

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[2] 孙超 石维平 束余声等. 低位胸导管结扎在预防食管癌切除术后乳糜胸的应用 [J]. 临床外科杂志, 2013, 21(3): 195-196.
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