Chylothorax following posterior low lumbar fusion surgery:A case report
作者机构：Department of Orthopedic Surgery and Orthopedic Research InstituteWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第22期
页 面：6522-6530页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：Supported by National Natural Science Foundation of China No.81874027
主 题：Chylothorax Conservative managements Diagnosis Posterior lumbar surgery Complication Case report
摘 要：BACKGROUND Postoperative chylothorax is usually regarded as a complication associated with cardiothoracic surgery;however,it is one of the rare complications in orthopedic *** case report describes a female patient who developed chylothorax after a successful L4-S1 transforaminal lumbar interbody fusion *** etiology,diagnosis,and treatment were analyzed and *** SUMMARY A 50-year-old woman was admitted with repeated back and leg *** was diagnosed with L4 degenerative spondylolisthesis,L4/L5 and L5/S1 intervertebral disc herniation and L5 instability,and underwent successful posterior L4-S1 instrumentation and fusion ***,thoracic effusion was identified 2 d after *** thoracic effusion was finally confirmed to be chylous based on twice positive chyle qualitative *** patient was discharged after 12-d persisting drainage,3-d total parenteral nutrition and fasting,and other supportive *** recurring symptoms were observed within 12 mo *** Differential diagnosis is crucial for unusual thoracic *** diagnosis and treatment of chylothorax are *** intraoperative protection to relieve high thoracic pressure caused by the prone position is important.
维普期刊数据库