摘要
目的总结乳糜胸病因和诊治的临床经验。方法对10例乳糜胸患者的病史临床特点、诊断、治疗以及随访结果进行回顾性分析。结果10例乳糜胸,其中特发性乳糜胸5例,继发于胸部手术后2例,服用药物后继发2例,淋巴瘤1例。分别针对病因治疗(3例)或内科保守治疗(6例),行胸导管结扎手术(1例)所有病例均获得有效控制。结论早期病因诊断,个体化的治疗方案,有助于降低乳糜胸的死亡率。
Objective To investigate the origins, the diagnostic method, the management of chylothorax, and to summarize the clinical experiences, Methods We summarized the diagnostic and the management method, also evaluated the clinical outcomes through a retrospective research of the clinical data from 10 cases during 2000 - 2007. Results 5 out of 10 cases were diagnosed as idio-chylothorax, 2 cases as thoracic operation, 2 cases as drug side effects and 1 case as lymphoma. Among the 10 cases, 6 cases had the medical treatment, 2 cases discontinued the relative drug, 1 case had the ligation of thoracic duct, and 1 case had the chemotherapy. All the 10 cases had a recovery from clinical treatment. Conclusion Once the diagnosis of chylothorax is made, we should search the causes, and the individual management based on the causes can reduce the mortality of chylothorax.
出处
《临床肺科杂志》
2008年第10期1264-1266,共3页
Journal of Clinical Pulmonary Medicine
关键词
乳糜胸
胸导管
诊断
治疗
ebylothorax
thoracic duct
diagnosis
management
