乳糜性胸腔积液诊断及处理
发布时间：2018-07-21 08:53
【摘要】：乳糜性胸腔积液较少见,在儿童常见原因为原发于淋巴系统的疾病,如先天性乳糜胸、淋巴管瘤病等,治疗难度大,病死率高。保守治疗包括饮食控制(食用中链脂肪酸或全胃肠外营养支持)、生长抑素或奥曲肽减少淋巴液生成及流动;对诊断技术需要开展精细的发掘;外科治疗方面,胸导管结扎术适用于多数继发性乳糜胸,胸膜粘连术安全有效。原发性乳糜胸的发生意味着淋巴回流的代偿受限和失代偿,治疗方向是改善淋巴回流基础上的综合治疗。
[Abstract]:Chylous pleural effusion is rare, and the common cause for children is the disease of the lymphatic system, such as congenital chylothorax, lymphangioma, and so on. The treatment is difficult and the mortality rate is high. Conservative treatment includes diet control (food chain fatty acid or total parenteral nutrition support), somatostatin or octreotide reduces lymph formation and flow; Fracture techniques need to be finely excavated; thoracic duct ligation is suitable for most secondary chylothorax. Pleural adhesions are safe and effective. The occurrence of primary chylothorax means the limited compensatory and decompensation of lymphatic reflux, and the direction of treatment is to improve the comprehensive treatment on the basis of lymphatic reflux.
【作者单位】： 首都医科大学附属北京儿童医院呼吸二科;首都医科大学附属北京世纪坛医院淋巴外科;
【分类号】：R725
，
本文编号：2134995
[Abstract]:Chylous pleural effusion is rare, and the common cause for children is the disease of the lymphatic system, such as congenital chylothorax, lymphangioma, and so on. The treatment is difficult and the mortality rate is high. Conservative treatment includes diet control (food chain fatty acid or total parenteral nutrition support), somatostatin or octreotide reduces lymph formation and flow; Fracture techniques need to be finely excavated; thoracic duct ligation is suitable for most secondary chylothorax. Pleural adhesions are safe and effective. The occurrence of primary chylothorax means the limited compensatory and decompensation of lymphatic reflux, and the direction of treatment is to improve the comprehensive treatment on the basis of lymphatic reflux.
【作者单位】： 首都医科大学附属北京儿童医院呼吸二科;首都医科大学附属北京世纪坛医院淋巴外科;
【分类号】：R725
，
本文编号：2134995
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