[1]焦若男 张海涛.成人心脏外科术后乳糜胸的研究进展[J].心血管病学进展,2020,(12):1264-1267.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.010]
 Jiao Ruonan,Zhang Haitao.Chylothorax Complicating Adult Cardiac Surgery Procedures[J].Advances in Cardiovascular Diseases,2020,(12):1264-1267.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.010]
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成人心脏外科术后乳糜胸的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年12期
页码:
1264-1267
栏目:
综述
出版日期:
2020-12-25

文章信息/Info

Title:
Chylothorax Complicating Adult Cardiac Surgery Procedures
作者:
焦若男 张海涛
 (中国医学科学院 阜外心血管病医院,北京100037)
Author(s):
Jiao RuonanZhang Haitao
 (Chinese Academy of Medical Sciences,Fuwai Hospital,Beijing 100037 ,China)
关键词:
乳糜胸心脏手术胸导管
Keywords:
Chylothorax Cardiac surgery proceduresThoracic duct
DOI:
10.16806/j.cnki.issn.1004-3934.2020.12.010
摘要:
乳糜胸是成人心脏手术后少见的并发症,多由于胸导管或其分支受到阻塞、损伤,乳糜溢出至胸膜腔所形成,可使患者出现蛋白质、能量缺乏,电解质紊乱,增加凝血障碍或感染的风险。如果不及时进行治疗,死亡率较高,保守治疗是成人心脏术后乳糜胸的首选治疗方法。现通过汇总分析近十年成人心脏术后发生乳糜胸的病例报道,对其发病机制和治疗策略进行综述。
Abstract:
Chylothorax is a rare complication after cardiac surgery in adults. It is caused by the extravasation of chyle into the pleural space,due to obstruction or injury to the thoracic duct or its branches.A chylothorax increases the mortality rate and may cause nutritional deficiencies ,protein deficiency and electrolyte disorders,therefore,increasing the patients’ vulnerability to infections and coagulation disorder. Conservative management is appropriate as initial treatment for cardiac postsurgical chylothorax.In this article,we reviewed pathogenesis and treatment strategies of chylothorax,through a summary analysis of chylothorax cases in the past ten years.

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备注/Memo

备注/Memo:
通信作者:张海涛,E-mail:boy8672@163.com 
收稿日期:2020-03-12
更新日期/Last Update: 2021-02-22