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目的探讨食管癌手术后乳糜胸的诊断与治疗。方法回顾性研究2000年1月—2009年6月504例食管癌外科手术患者的临床资料,术后并发乳糜胸6例,行保守治疗或再次开胸手术结扎胸导管。结果非手术治疗治愈l例,手术治疗治愈5例,均痊愈出院。结论食管癌术后乳糜胸诊断应结合临床症状、实验室检查及胸水量综合考虑。一旦确诊先行保守治疗,若每日引流量在1000m l以上,且每日无减少的趋势,须尽早手术。
Objective To investigate the diagnosis and treatment of chylothorax after esophageal cancer surgery. Methods The clinical data of 504 esophageal cancer surgical patients from January 2000 to June 2009 were retrospectively reviewed. Six patients with chylothorax were treated with conservative treatment or thoracotomy. Results of non-surgical treatment of l cases, 5 cases of surgical treatment were cured and discharged. Conclusion The diagnosis of esophageal chylothorax should be combined with clinical symptoms, laboratory tests and pleural effusion. Once the diagnosis of first-line conservative treatment, if the daily drainage volume in more than 1000m l, and no reduction in the daily trend, as soon as possible surgery.