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目的:总结小儿乳糜胸21例外科治疗经验。方法:自2000年10月至2007年5月共收治乳糜胸21例,占同期胸外科住院患者的0.45%。男14例,女7例。年龄1个月～9.2岁,平均3.2岁。体重3.2～26.0kg,平均14.1kg。3例原因不明,18例为创伤性(心胸手术后)。均经X线胸片或CT及胸腔穿刺液或引流液乳糜试验阳性确诊。结果:16例保守治疗治愈,5例手术结扎胸导管治愈。结论:小儿乳糜胸创伤性较多见,大多数保守治疗可治愈,仅少数保守治疗无效但可手术结扎胸导管,预后良好。
Objective: To summarize 21 cases of pediatric chylothorax surgical treatment experience. Methods: From October 2000 to May 2007, a total of 21 cases of chylothorax were treated, accounting for 0.45% of patients in the same period of thoracic surgery. There were 14 males and 7 females. Ages from 1 month to 9.2 years, average 3.2 years old. Weight 3.2 ~ 26.0kg, an average of 14.1kg. Three cases of unknown cause, 18 cases of traumatic (cardiothoracic surgery). All were confirmed by X-ray or CT and thoracentesis or drainage chylous test. Results: 16 cases were cured by conservative treatment and 5 cases were ligated by thoracic duct. Conclusion: Pediatric chylothorax traumatic injury is more common, most of the conservative treatment can be cured, only a few conservative treatment ineffective but can be ligation thoracic duct, the prognosis is good.