甲状腺癌左侧淋巴结清扫术后 ——并发双侧乳糜胸1例及文献复习

李素 仪*, 许 倩
广东省人民医院(广东省医学科学院)

摘要


目的:提高对甲状腺癌颈淋巴结清扫术后并发双侧乳糜胸的鉴别诊断和治疗。方法:对1例甲状腺癌行甲
状腺全部切除术及左侧颈淋巴结清扫术后并发双侧乳糜胸病例结合文献进行回顾性分析。结果:患者因甲状腺癌行
甲状腺全部切除术及左侧颈淋巴结清扫术,术中未见明显变异淋巴管,术后2天出现胸闷、气促、呼吸困难等症状,
行床旁胸片提示双侧胸腔积液,予胸腔穿刺抽液,确诊双侧乳糜胸,经饮食控制,奥曲肽等保守治疗后好转出院。
结论:甲状腺癌颈淋巴结清扫术后需警惕双侧乳糜胸的发生,并采取积极的保守治疗。

关键词


甲状腺癌;淋巴结清扫术;乳糜胸;保守治疗

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参考


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