摘要
我院自1972年1月～1988年8月收治创伤性乳糜胸10例,全部治愈,其中手术6例,保守4例。6例手术者经左、右胸各3例。本文重点对手术时机、入路和手术方式等作了讨论。作者的经验是:对于手术时机的选择,主要依据单位时间内乳糜引流量的多少。对每日引流量500ml 以下者,可先采取保守疗法。每日引流量1000ml 以下者,如观察4～5天无效或每日500～1000ml,保守治疗1周不见引流量减少,即应迅速开胸结扎胸导管。手术入路以乳糜胸发生侧为好,但对双侧乳糜胸,应从右胸入路。胸导管结扎术是目前治疗创伤性乳糜胸最有效的方法,本组6例手术者即全部采用此法。
Ten cases with traumatic chylo-thorax were admitted during the periodof Jan.1972 to Aug.1988,and allrecoverved.Four cases were conserv-ed,and three cases were operatedwith left and right side approachrespectively.The operative chance,approach and procedure were discussedin the paper.By the experience,themain basis for operative chance ofchylothorax was the quantities ofpostoperation drainage from thethoracic cavity in the unit time.when the daily drainage was lesserthan 500ml conservative treatmentcould be used.while the dailydrainage exceeded 1000ml for 4～5days or 500～1000ml for one week,thoracotomy should be done promptly.The operations were performedpreferably with chylothorax sideapproach,but to double chylothoraxpreferably right side approach.At pr-esent,ligation of thoracic duct is thebest method for traumatic chylothrax,six cases were operated with this me-thod in the study.
