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1
題名:Chylothorax Following Esophagectomy: Report of Two Cases     (10點)
食道切除手術後引發乳糜胸:兩病例報告
著者:Ming-Ho Wu(吳明和) ;Han-Yun Wu(吳菡芸)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
刊名:Journal of Emergency and Critical Care Medicine
卷期:21卷4期(2010.12)
頁碼:203-207
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

兩位食道癌病人接受食道切除手術後引發乳糜胸。這兩位病人在切除食道前,曾經接受化學及放射治療。第一位病人之乳糜胸診斷依據,是在食道切除手術後第8天,給以灌食牛奶而胸腔引流液變乳白色,因此她在食道切除手術後第10天,為了治療乳糜胸,接受右側第九肋迷你開胸結紮胸管,總共住院28天。第二位病人之乳糜胸診斷依據,乃是在切除食道手術後第5天灌食牛奶後,發現胸腔引流液變乳白色。之後即刻為了治療乳糜胸及心包膜積液,接受再次右側開胸結紮胸管及心包膜造口,總共住院18天。早期查覺乳糜胸逕行治療,使得病人早日康復。
Two patients with esophageal cancer were found to have a post-esophagectomy complication of chylothorax. These two patients had received neoadjuvant chemoradiation before esophagectomy. With the first patient, the chylothorax was diagnosed after milky fluid appeared from the chest tube drain after the patient was feed with milk on post-esophagectomy day 8. She underwent ligation of the thoracic duct for the chylothorax by a right mini-thoracotomy via the 9th rib bed on post-esophagectomy day 10; her total hospital stay was 28 days. With the second case, the chylothorax was diagnosed during feeding with milk on the post-esophagectomy day 5. He underwent an urgent ligation of the thoracic duct for the chylothorax; at the same time a pericardial window to treat an associated pericardial effusion via a previous thoracotomy was made. This patient’s hospital stay was 18 days. Early detection and treatment of a chylothorax can result the patient having an early recovery.


    

本卷期目次
Journal of Emergency and Critical Care Medicine 21卷4期 (2010.12)
The Effect of Steroid on Post-Resuscitation Outcome in Patients with Out-of-Hospital Cardiac Arrest/ CHIH-YI LINChien-Hua HuangMin-Shan TsaiWei-Tien ChangChiung-Yuan HsuShyr-Chyr ChenWen-Jone Chen
Subcapsular Hematoma of Kidney with Rupture into the Perirenal Space After Extracorporeal Shock Wave Lithotripsy: A Case Report/ Liang-Chung HuangMeng-Chia ChenChe-Wei Hsu
Chylothorax Following Esophagectomy: Report of Two Cases/ Ming-Ho WuHan-Yun Wu
QT Interval in Patients with Acute Carbon Monoxide Poisoning: Does Carbon Monoxide Poisoning Affect QT Interval?/ Chun-Chien ChiuChi-Wen JuanTa-Lun KaoChiu-Kuei NienYung-Zu Tseng
Atypical Presentation of Ectopic Pregnancy in an Obese Woman: A Case Report/ Teck-Jin YangHO-FU HSIAOHung-Hsin Mo
An Initial Presentation of Flank Pain Caused by Thoracic Disc Herniation/ Jiun-Lang SuWei-Chean TanChih-Chung ChaoChung-Ming TsaiChao-Hsin Wu
Malposition of a Sengstaken-Blakemore Tube: A Case Report/ Mao-Heng WangMING-HUI LINTZU-YI CHUANGShih-Wei Lee
Ruptured Liver Abscess: A Rare Cause of Pneumoperitoneum/ Yuan KaoChung-Hsun ChuangWEI-JING LEEHung-Jung Lin
Acute Emphysematous Cholecystitis/ Kaung-Chau TsaiWing-Keung CheungChien-Chu LinMIN PO HO
Adult Intussusception/ Tzu-Meng YangWEI-JING LEESi-Chon Vong
Ruptured Renal Angiomyolipoma: An Unusual Cause of Flank Pain in Emergency Department/ Mung-Chee HuChu-Chung ChouChin-Fu ChangWen-Liang Chen
Coincidence of Acute Coronary Syndrome and Pulmonary Embolism in a 74-Year-Old Man/ CHEN-TUNG HSURei-Yeuh ChangCheng-Kang Chen
Early Fournier Gangrene/ JIA-SHUO TSAI(HENRY)Ren-Jen Tseng
 
   
 
   

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