Abstract：
INTRODUCTION:A chylothorax can occur following any intrathoracic procedure. It is generally straightforward to make the diagnosis but optimal management can be problematic. METHODS:Between 1995 and 2002, three women and one man aged from 13 to 58 years were treated for chylothorax after thoracic surgery. Their initial illnesses were a right pulmonary hydatid cyst associated with hepatic disease, a tumour of the posterior mediastinum, an oesophageal carcinoma and metastases in the left lung. RESULTS:These patients had: a pulmonary and hepatic cystectomies, a resection of the mediastinal tumor, an Akyama oesophagectomy and a resection of four left pulmonary metastases. Chylothorax became apparent post operatively between the 1st and the 4th day. All patients were treated with a medium-chain triglyceride diet. Two patients were re-explored with ligation of lymphatic vessels. One woman who did not have further surgery was treated with etilefrine. In the patient who had had an oesophagectomy, chylothorax persisted after re-operation. He was successfully treated by talc pleurodesis via a chest drain, which prevented further recurrence. CONCLUSIONS:In the management of postoperative chylothorax, medical treatment must be started early but surgery should not be delayed as operative risk is increased by the development of malnutrition and immune deficiency.
journal_name
Rev Mal Respirjournal_title
Revue des maladies respiratoiresauthors
Smati B,Sadok Boudaya M,Marghli A,Mestiri T,Baccari S,Hantous T,Djilani H,Kilani Tdoi
10.1016/s0761-8425(06)71479-6subject
Has Abstractpub_date
2006-04-01 00:00:00pages
152-6issue
2 Pt 1eissn
0761-8425issn
1776-2588pii
MDOI-RMR-04-2006-23-2-0761-8425-101019-200518652journal_volume
23pub_type
杂志文章abstract：:Total lung capacity (TLC) and residual volume (RV) estimations were obtained from single-breath nitrogen washouts in 96 male and 77 female healthy never-smokers with normal spirometry from a non-polluted rural area in north-east France. TLC depended on height (both sexes) and diminished slightly with age in males, wit...
journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:Spiral or helical angioscanography for the positive or differential diagnosis of pulmonary emboli has become an emerging technique but remains poorly practised and has been little assessed scientifically. The optimal conditions to perform the test should be understood. The physician should appreciate in view of a larg...
journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
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journal_title：Revue des maladies respiratoires
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更新日期：2018-09-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
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更新日期：1999-06-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：2006-11-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
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更新日期：2005-04-01 00:00:00
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pub_type： 杂志文章
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：1997-12-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2017-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：1997-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：2000-11-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1992-01-01 00:00:00
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更新日期：2003-06-01 00:00:00
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journal_title：Revue des maladies respiratoires
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更新日期：1998-09-01 00:00:00
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journal_title：Revue des maladies respiratoires
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doi：
更新日期：1993-01-01 00:00:00
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journal_title：Revue des maladies respiratoires
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doi：
更新日期：2003-12-01 00:00:00
abstract：:Bronchial provocation tests are useful for the detection of subclinical bronchial hyper-reactivity. Their standardisation is vital, in particular the method of administration of the bronchoconstrictor agent. Our study compares two systems of histamine delivery: an aerosol propellant with freons and a jet nebuliser lin...
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pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
