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首页> 外文期刊>Journal of cardiac surgery. >Traumatic chylothorax following blunt thoracic trauma: two conservatively treated cases.
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Traumatic chylothorax following blunt thoracic trauma: two conservatively treated cases.

机译:钝性胸外伤后创伤性乳糜胸:2例保守治疗的病例。

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摘要

Chylothorax is rare following blunt thoracic trauma; its diagnosis is usually delayed until the puncture or drainage of posttraumatic pleural effusion and its cause is not clear. Mostly, it is attributed to injury or overstretching of major thoracic duct by fractures or other injury of neighboring thoracic spine. We describe of two cases, one unilateral and one bilateral, of chylothorax, both after blunt thoracic trauma. In the first case, there were associated fractures of lower thoracic vertebrae, whereas in the other there was no obvious cause, except striking osteophytic degeneration alongside the thoracic spine. Both cases were successfully treated after 16 and 23 days, respectively, with drainage, starvation, reexpansion of the lung(-s), and total parenteral nutrition. We believe that with the "triad of RST" ("reexpansion, starvation diet, TPN"), conservative treatment will be successful in the majority of cases.
机译:胸廓钝性胸外伤后很少出现胸膜胸部。其诊断通常要延迟到创伤后胸腔积液穿刺或引流,其原因尚不清楚。通常,这归因于相邻胸椎的骨折或其他损伤造成的主要胸导管的损伤或过度伸展。我们描述了胸部钝器伤后发生的两种情况,分别是单侧和双侧乳糜胸两种情况。在第一种情况下,存在下胸椎相关骨折,而在另一种情况下,除了在胸椎旁引起骨赘性变性之外,没有明显原因。这两例患者分别在16天和23天后通过引流,饥饿,肺扩张和全胃肠外营养得到了成功治疗。我们相信,通过“ RST三联症”(“扩张,饥饿饮食,TPN”),保守治疗在大多数情况下将是成功的。

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