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目的 探讨颈乳糜瘘及乳糜胸的发生原因、治疗方法及预防措施。方法 ６２ 例乳糜瘘中３５ 例采用单纯局部压迫，２１ 例采用持续负压引流加局部压迫，６ 例手术缝扎。４ 例乳糜胸１ 例采用胸腔穿刺，３例开胸结扎胸导管。结果 采用单纯压迫的３５例，３０例痊愈，５ 例失败，经手术治疗痊愈，平均愈合时间为１５．２（９～２６）ｄ。采用持续负压引流加局部压迫的２１ 例１８ 例痊愈，３ 例失败，经手术治疗愈合，平均愈合时间为１１．６（９～１５）ｄ。手术缝扎６例，均Ⅰ期愈合。１ 例乳糜胸保守治愈，３ 例经保守治疗（２～３）ｄ 无效，开胸结扎胸导管痊愈。结论 日丢失乳糜液小于５００ ｍ Ｌ或经保守治疗超过１周无效者，手术缝扎。乳糜胸经保守治疗（２～３）ｄ 无效者，开胸结扎胸导管。
Objective To investigate the causes, treatment methods and preventive measures of cervical chylothorax and chylothorax. Methods A total of 35 cases of chyloplasty were treated with simple local compression, 21 cases were treated with continuous negative pressure drainage and partial compression, and 6 cases were surgically ligated. Four cases of chylothorax were treated with thoracentesis, and thoracotomy was performed in 3 cases. RESULTS: 35 cases were treated with simple compression, 30 cases were cured, and 5 cases failed. The average healing time was 15.2 (9 to 26) days after surgical treatment. Twenty-one of the 21 patients with persistent negative pressure drainage and partial compression recovered, and 3 failed. Healed by surgery and the average healing time was 11.6 (9-15) days. Surgical suture in 6 cases, all I healed. One case of chylothorax was conservatively cured, and 3 cases were ineffective after conservative treatment (2 to 3 days), and thoracotomy was performed by ligation of the thoracic duct. Conclusions Surgical sutures are lost if the daily loss of chylous fluid is less than 500 m L or if conservative treatment is not effective for more than 1 week. Chest thymus was treated with conservative treatment (2 ~ 3) d, and thoracic catheter was opened.