on esophageal cancer postoperative chylothorax treatment - 22 cases reported（食管癌术后乳糜胸治疗- 22例报道）.docVIP

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on esophageal cancer postoperative chylothorax treatment - 22 cases reported（食管癌术后乳糜胸治疗- 22例报道）.doc

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on esophageal cancer postoperative chylothorax treatment - 22 cases reported（食管癌术后乳糜胸治疗- 22例报道）

On esophageal cancer postoperative chylothorax Treatment - 22 cases reported Postoperative chylothorax is a serious surgical complications, if not attended to, often endangering the lives of patients. In our hospital from March 2006 to March 2012 line of 4183 cases of esophageal cancer, 22 cases of postoperative chylothorax , the incidence of 0.53% to achieve a satisfactory therapeutic effect. are summarized as follows: 1 Materials and Methods 1.1 General Information The group of 22 patients, 15 males, 7 females, aged 37 -72 years old. Thoracic esophageal cancer in 12 cases, nine cases of esophageal chest, lower thoracic esophageal cancer in 1 case. Squamous cell carcinoma were pathologically . TNM stage: II 3 cases, III 19 cases. One result of tumor invasion of thoracic duct, failure of conventional thoracic duct ligation in 12 cases, intraoperative lymph node dissection due to chylothorax in 10 cases, pleural drainage in 600-2320ml / d. Sudan III test was positive in 5 cases, negative in 17 cases. 1.2 Treatment Chylothorax Once diagnosed, aggressive treatment, the amount of chest lead is the key to deciding whether surgical treatment (1) If the chest lead of less than 1000 ml / d, more conservative treatment first, the group cited 10 cases of thoracic volume In the first day of 600-1000 ml / d, of which 6 cases of continuous drainage, the amount of chest lead gradually declined, and finally recovered the remaining four cases of breast or daily cited an increase in the amount of unabated, we used hypertonic glucose and interleukin-2 repeatedly injected into the chest cavity, clamp the chest lead pipe, Zhu Huanzhe two hours once a position change, the purpose is to promote two visceral pleural adhesions, this method makes three patients recovered, treatment time 5-9 days, an average of 7.6 days. I 1 patient 5 days after the emergence of systemic failure, unable to re-operation and lead to death (2) If the chest lead is greater than 1000 ml / d o