發(fā)布時間：2018-07-21 08:53

【摘要】：乳糜性胸腔積液較少見,在兒童常見原因為原發(fā)于淋巴系統(tǒng)的疾病,如先天性乳糜胸、淋巴管瘤病等,治療難度大,病死率高。保守治療包括飲食控制(食用中鏈脂肪酸或全胃腸外營養(yǎng)支持)、生長抑素或奧曲肽減少淋巴液生成及流動;對診斷技術需要開展精細的發(fā)掘;外科治療方面,胸導管結扎術適用于多數(shù)繼發(fā)性乳糜胸,胸膜粘連術安全有效。原發(fā)性乳糜胸的發(fā)生意味著淋巴回流的代償受限和失代償,治療方向是改善淋巴回流基礎上的綜合治療。
[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.
【作者單位】： 首都醫(yī)科大學附屬北京兒童醫(yī)院呼吸二科;首都醫(yī)科大學附屬北京世紀壇醫(yī)院淋巴外科;
【分類號】：R725
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本文編號：2134995