Conservative therapy in the treatment of cervical chylous leakage
10.3760/cma.j.issn.1673-0860.2009.05.014
- VernacularTitle:颈部手术后乳糜漏的保守治疗
- Author:
Gao-Song WU
1
;
Li-Li HUANG
;
Shun-Gui TU
;
Yan-Yan LIU
;
Jie LIU
;
Qun YAN
;
Ji-Lin YI
;
Sheng-Quan ZOU
Author Information
1. 华中科技大学同济医学院附属同济医院
- Keywords:
Postoperative complications;
Thoracic duct;
Chyle;
Drainage;
Diet,fat-restricted;
Combined modality therapy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(5):404-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and evaluate the combined conservative managements in the treatment of cervical chylous leakage. Methods Thirty nine eases of cervical chylous leakage from Jun 1992 to Jun 2008 were retrospectively analyzed in this hospital. All of the 39 eases were cured by treating with conservative individualized therapy, including the applying of diet with high calory, high protein and low fat and fatty food should only contains medium-chain triglycerides, total parenteral nutrition, keep the balance of hydrogen and electrolyte and correct hypoproteinemia, local pressure dressing, high persistent vacuum drainage (- 50～ - 80 kPa) and/or somatostatin analogue. Results All the cases of chylous leakage happened 2nd to 5th days after the operation. Among the 39 cases, 7 were high flow (drainage ≥500 ml/d) chylous leakage, the amount of drainage reached as high as 1440 ml per day. The time of chylous leakage closure was 3～12 days, and the mean time was 7 days. No one experienced re-operation, wound hydrops or wound infection. Condusions The conservative individualized therapy may play a key role in the treatment of cervical chylous leakage.
