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find Keyword "乳糜漏" 6 results
  • 同种异体肾移植术后并发乳糜漏护理一例

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • Prevention and Treatment on Chyle Leakage after Radical Neck Dissection of Thyroid Carcinoma (Report of 19 Cases)

    目的 探讨临床上更加有效地预防和治疗颈乳糜漏的方法。方法 我科1988~2008年期间共收治593例行甲状腺癌颈淋巴结清扫术的患者,对术后出现乳糜漏的患者的临床资料进行总结分析。结果 共出现颈乳糜漏19例,占3.2%,其中17例采用持续负压吸引加局部加压包扎的保守治疗方法治愈,2例采用淋巴管缝扎方法治愈。结论 持续负压吸引加局部加压包扎是治疗甲状腺癌颈淋巴结清扫术后乳糜漏的主要治疗方法,对于引流量较大、持续时间较长的病例应采用手术治疗的方法。

    Release date:2016-09-08 10:58 Export PDF Favorites Scan
  • Chyle Leakage after Radical Neck Dissection

    颈淋巴结清扫术后乳糜漏是颈部外科手术后比较少见的并发症,国内、外文献[1-7]报道其发生率约为1%~3%,其原因很明确,即术中损伤胸导管或其分支。颈淋巴结清扫术后乳糜漏对生命有潜在威胁,且显著延长患者住院时间、增加医疗费用。尽管手术方法及手术器械不断改进,其发生率并没有明显降低,对于部分难治性乳糜漏目前还没有简单有效的办法。现就颈淋巴结清扫术后乳糜漏的预防及治疗方法介绍如下……

    Release date:2016-09-08 10:58 Export PDF Favorites Scan
  • 甲状腺癌中央组淋巴结清扫术后乳糜漏治疗策略及新方法(附 2 例报道)

    目的探讨甲状腺癌中央组淋巴结清扫术后乳糜漏的治疗策略重点及介绍一种新方法。方法回顾性分析 2019 年 3~5 月期间辽宁省人民医院甲状腺乳腺外科收治的 2 例甲状腺癌中央组淋巴结清扫术后轻中度乳糜漏患者,采取颈托外固定加棉球内填塞加压包扎加充分负压引流并辅助低脂饮食的保守治疗方法(其中 1 例患者为在外院采取禁食水、静脉营养、局部盐袋压迫等方法保守治疗 3 周拔管后乳糜漏复发而来我院就诊)。结果2 例患者的引流量均在 2 d 内快速减少到 10 mL 以下,继续维持治疗 10 d 后恢复正常饮食 3 d,然后观察引流液量无变化时于第 14 天拨除引流管,拨管后再观察 3 d 后复查颈部超声示仍无明显积液时提示淋巴漏已临床治愈。结论局部压迫、充分引流、减少淋巴液生成是治愈甲状腺癌术后轻中度乳糜漏的策略重点;颈托外固定加棉球内填塞的加压包扎是对颈根部进行加压包扎的一种新方法,低脂饮食是减少淋巴液产生的有效手段。

    Release date:2020-03-30 08:25 Export PDF Favorites Scan
  • 甲状腺癌颈淋巴结清扫术后难治性乳糜漏临床分析

    目的 分析甲状腺癌手术后难治性乳糜漏的临床特点,探讨难治性乳糜漏的治疗策略。方法 回顾性分析解放军第九六〇医院(原济南军区总医院)2009年 1 月至 2021 年1 月期间收治的 5 021例行甲状腺癌颈淋巴结清扫术患者的临床资料,术后发生乳糜漏122例,其中治疗时间超过2周的难治性乳糜漏34例,对难治性乳糜漏患者的一般情况、治疗方式、峰值引流量(日最高引流量)、带管时间等进行分析总结。结果 5 021例患者中发生乳糜漏122例,占所有患者的2.4%。经非手术治疗2周内治愈者88例,占乳糜漏总数的72.1%;治疗时间超过2周的难治性乳糜漏34例,占乳糜漏总数的27.9%。难治性乳糜漏经非手术方法治愈者18例,经再次手术治愈者16例,2组患者的乳糜漏位置左侧多于右侧;34例难治性乳糜漏峰值引流量(日最高引流量)手术组(16例)高于非手术组(P<0.05),带管时间手术组短于非手术组(P<0.05)。结论 低峰值引流量乳糜漏经非手术治疗多可治愈;难治性乳糜漏左侧多见,高流量乳糜漏(峰值引流量≥1 000 mL)宜早期实施手术治疗。

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  • Clinical effect of refractory chylous leakage treated by Jindan Fuyan Granule after neck lymph node dissection for thyroid cancer: a report of 3 cases

    ObjectiveTo summarize the efficacy and safety of Jindan Fuyan Granule in the treatment of refractory chylous leakage after neck lymph node dissection for thyroid cancer. MethodThe clinical data of thyroid cancer patients with refractory chylous leakage after neck lymph node dissection treated with Jindan Fuyan granules in the Department of Head and Neck Surgery of Jiangsu Cancer Hospital from January to December 2023, were retrospectively collected. ResultsAfter treatment with Jindan Fuyan Granules on the basis of conventional treatment, the drainage volume of 3 patients with thyroid cancer after radical neck lymph node dissection was significantly reduced, from 100 mL to 2 mL, 1 285 mL to 5 mL, and 960 mL to 5 mL, respectively. After 3 days of treatment, the tubes were removed successfully. After discharge from the hospital, 3 patients were followed up for 3, 3, 4 months, respectively, showing satisfactory wound healing without chylous leakage or other discomfort. ConclusionsCombined with low-fat diet, drainage and other non-surgical treatment methods, Jindan Fuyan Granule has obvious effect on treating refractory chylous fistula after thyroid cancer neck lymph node dissection, which can be used as a non-surgical treatment option. However, the efficacy needs to be further verified.

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