乳び胸１０例の治療法の検討
書誌事項
- タイトル別名
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- Treatment of chylothorax.
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Ten patients treated for chylothorax from 1975 to 1990 were reviewed. The etiology was traumatic in seven patients and idiopathic in three patients. Their ages ranged from 30 to 66 years.<BR>All the traumatic chylothoraces occurred as a complication of thoracic surgery : lung cancer (five patients), esophageal cancer (one) and mediastinal leiomyoma (one). The maximum chyle loss per day ranged from 150 to 1650 ml (2.4 to 36 ml/kg), and the mean flow rate of chyle from 0.1 to 1.5 ml/kg/hour. One patient recovered with conservative treatment. Six patients recovered with surgical treatment. Early operation is indicated if maximum chyle loss per day exceeds 17 ml/kg.<BR>The three patients with idiopathic chylothorax were female. Two patients had bilateral chylous effusions and one had left-sided chylous effusion. One patient with bilateral chylous effusions, who was actively treated with thoracotomy, intravenous hyperalimentation and continuous intrapleural tube drainage, is alive 6 years and 7 months after thoracotomy. But the other patient with bilateral chylous effusions, who was treated conservatively with low-fat diet, intermittent aspirations and pleurodesis, had severe restrictive ventilatory impairment and died 3 years later. Even if a chylothorax is idiopathic, we should examine the patient carefully and treat him surgically before conservative treatment causes restrictive ventilatory impairment.
収録刊行物
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- 日本呼吸器外科学会雑誌 呼吸器外科
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日本呼吸器外科学会雑誌 呼吸器外科 5 (4), 394-400, 1991
特定非営利活動法人 日本呼吸器外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679330123392
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- NII論文ID
- 110007154116
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- NII書誌ID
- AN10204445
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- ISSN
- 18841724
- 09174141
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可