目的:总结开胸术后乳糜胸患者的治疗经验,以预防和减少乳糜胸的发生。方法:回顾性分析1991年—2002年18例术后乳糜胸患者的临床资料、诊断手段、治疗方法。结果:全组18例患者,4例经内科治疗,14例行开胸手术治疗,均痊愈出院。结论:熟悉解剖、规范手术操作及围术期处理严格管理,是预防和减少乳糜胸发生率的有效方法。 Objective: To summarize the experience of treatment of chylothorax after thoracotomy in order to prevent and reduce the occurrence of chylothorax. Methods: The clinical data, diagnostic methods and treatment of 18 patients with chylothorax from 1991 to 2002 were analyzed retrospectively. Results: The whole group of 18 patients, 4 cases of medical treatment, 14 cases of thoracotomy, were cured. Conclusion: Familiar with anatomy, standardized surgical procedures and strict management of perioperative management are effective methods to prevent and reduce the incidence of chylothorax.