甲状腺癌颈部淋巴结清扫术后双侧乳糜胸2例并文献复习
发布时间：2018-11-19 09:02
【摘要】：目的:探讨甲状腺癌颈部淋巴结清扫术后双侧乳糜胸的诊断及治疗。方法:回顾性分析2例甲状腺癌颈部淋巴结清扫术后出现的双侧乳糜胸患者的临床资料,并复习相关文献。结果:2例患者均因甲状腺乳头状癌行颈部淋巴结清扫术,术中均未发现淋巴液渗漏。均于术后第4天出现气促、呼吸困难,经胸部X线检查为双侧胸腔积液,行双侧胸腔闭式引流出乳白色乳糜液,证实为双侧乳糜胸。2例患者经禁食、奥曲肽等积极治疗后,引流量逐渐减少,复查胸部X线胸部无积液后拔除引流管。结论:双侧乳糜胸是甲状腺癌颈淋巴结清扫术后罕见的并发症,早期发现后给予积极的保守治疗是安全有效的。
[Abstract]:Objective: to investigate the diagnosis and treatment of bilateral chylothorax after neck lymph node dissection for thyroid carcinoma. Methods: the clinical data of 2 patients with bilateral chylothorax after neck lymph node dissection for thyroid carcinoma were analyzed retrospectively. Results: cervical lymph node dissection was performed in 2 patients with papillary thyroid carcinoma. No lymphatic leakage was found during the operation. On the 4th day after operation, the patients developed shortness of breath and dyspnea. Chest X-ray examination showed bilateral pleural effusion and closed drainage of white chylothorax, which was confirmed as bilateral chylothorax. 2 patients were treated with fasting and octreotide. The drainage volume gradually decreased, and the drainage tube was removed after reexamination of chest X-ray without hydrothorax. Conclusion: bilateral chylothorax is a rare complication after neck lymph node dissection in thyroid carcinoma.
【作者单位】： 中南大学湘雅医院普通外科甲状腺专科;
【基金】：国家自然科学基金资助项目(81372860)
【分类号】：R736.1
[Abstract]:Objective: to investigate the diagnosis and treatment of bilateral chylothorax after neck lymph node dissection for thyroid carcinoma. Methods: the clinical data of 2 patients with bilateral chylothorax after neck lymph node dissection for thyroid carcinoma were analyzed retrospectively. Results: cervical lymph node dissection was performed in 2 patients with papillary thyroid carcinoma. No lymphatic leakage was found during the operation. On the 4th day after operation, the patients developed shortness of breath and dyspnea. Chest X-ray examination showed bilateral pleural effusion and closed drainage of white chylothorax, which was confirmed as bilateral chylothorax. 2 patients were treated with fasting and octreotide. The drainage volume gradually decreased, and the drainage tube was removed after reexamination of chest X-ray without hydrothorax. Conclusion: bilateral chylothorax is a rare complication after neck lymph node dissection in thyroid carcinoma.
【作者单位】： 中南大学湘雅医院普通外科甲状腺专科;
【基金】：国家自然科学基金资助项目(81372860)
【分类号】：R736.1
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