腹部手术后淋巴漏的研究进展

Research advances for abdominal postoperative lymphatic leakage

淋巴漏是腹部手术后较为少见的并发症,其临床表现主要为腹腔引流出乳糜样或乳白色液体。术后淋巴漏可导致病人脱水、营养不良、继发感染和低蛋白血症等,严重时可危及生命。保守治疗是淋巴漏最主要的治疗方式,对于保守治疗无效或长期大量淋巴漏的病人可采取手术治疗。此文主要探讨了腹部手术后淋巴漏的原因、预防、诊断及处理措施。

As a relatively rare postoperative complication of abdominal surgery,lymphatic leakage is characterized by chyloid-like or milky fluid drainage from abdominal drainage.It causes dehydration,malnutrition,secondary infection,hypoproteinemia and even life-threatening.Conservative measures are a primary treatment.Surgery may be selected for ineffective conservative management or prolonged lymphatic leakage.Here the causes,preventions,diagnosis and treatment of abdominal postoperative lymphatic leakage were summarized.