损伤性乳糜腹的治疗:附11例报告
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陈健

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Diagnosis and management of chylous ascites: a report of 11 cases
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    摘要:

    目的:探讨损伤性乳糜腹的治疗方法。
    方法:回顾性分析1994—2007年12月诊治的11例乳糜腹患者的临床资料。
    结果:腹部开放性损伤5例,闭合性损伤2例,手术损伤4例,其中9例行手术治疗。针对不同的损伤部位及损伤程度分别采用直接修补、缝扎、结扎的手术方法,2例采用非手术治疗。11例患者均治愈,随访0.5~3年,均情况良好。
    结论:对外伤性乳糜腹水、如为乳糜池损伤最好行一期修复;如果是管径小的肠干或腰干损伤可以考虑结扎;对钝性或手术后才发现的淋巴管损伤以保守治疗为主。

    Abstract:

    To stady the diagnosis and management of traumatic chylous ascites.
    Methods :Retrospective analysis was conducted on the clinical dada of 11 cases of traumatic chylous ascites resulting from various causes.
    Results:There were 5 cases of open abdominal injury, 2 cases of closed abdominal injury and 4 cases of operative injury. Nine cases were treated with operation. According to the location and extent of injury, patients were respectively managed by operation of direct repair or ligation. Two cases had non-surgical treatment. All of the11 patients were cured and had satisfactory result at 0.5~3 years of follow-up.
    Conclusions:For traumatic chylous ascites,if the injurg occurrence on cisterna chili, the best treatmeat is primary repair;if injury occarrence on the small intestinal trunks or lumbar trunk, which can be treated with ligation; while blunt injury and cases found after operation are mainly treated conservatively.

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陈健, 李可, 陈克勤.损伤性乳糜腹的治疗:附11例报告[J].中国普通外科杂志,2009,18(5):15-494.
DOI:10.7659/j. issn.1005-6947.2009.05.015

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  • 在线发布日期: 2009-05-25