頸部乳糜外漏之治療－病例報告

Treatment of Chylous Leakage in Neck Region: A Case Report

李立慈(Li-Tzu Lee) ； 林佩瑩(Pei-Yin Lin) ； 黃穰基(Yong-Kie Wong)

《中華民國口腔顎面外科學會雜誌》 17卷1期 (2006/03) Pp. 61-65

https://doi.org/10.7104/CJOMS.200603.0061

摘要

在治療頭頸部癌而進行頸部清創術時，可能因傷及胸管而導致乳糜外漏。大量乳糜外漏可造成患者營養的不平衡，延後傷口癒合及延長住院時間。且術後病人對術區有大量乳白色的滲出液常覺得不安。有數種方法來治療乳糜外漏的問題，分別是：術中進行乳糜管的修補，以膠水(glue)黏著或以螯合劑(tetracycline)修復。本病例報告為一口腔癌之患者，在術中發現有乳糜外漏。於術後以中鏈三酸甘油酯的全靜脈注射，而成功治療乳糜外漏的併發症。

關鍵字

乳糜外漏 ； 全靜脈注射 ； 頸部廓清術

並列摘要

Chylous leakage is a potentially mobility that results from lymphatic duct injuries in radical neck dissection. This may cause nutrition impairment, delay wound healing, and prolong hospitalization. Patient often become nervous when they note large volume milky-like component drained from the operative wound. There are several modalities to treat chylous leakage, including ligature and application of glue to the leakage region, injection chelating agent (tetracycline) and low- fat diet adjustment. We report one chylous leakage case in our oral and maxillofacial department by using low-fat diet through total parenteral nutrition (TPN) administration to treat the chylous leakage.

並列關鍵字

chylous leakage ； neck dissection ； TPN