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- W2091276110 abstract "Le chylothorax, après traumatisme fermé du thorax, est une lésion rare qui doit être évoquée devant un épanchement pleural abondant, intarissable et d'aspect laiteux. La preuve du diagnostic est apportée par la chimie du liquide de drainage et la lymphographie. La tomodensitométrie thoracique est un moyen diagnostique plus moderne et aussi performant. Le traitement médical, fondé sur le régime sans graisse et les triglycérides à chaîne moyenne, est possible mais long. La ligature chirurgicale du canal thoracique est indiquée après 2 à 3 semaines, si l'épanchement persiste à un débit supérieur à 500 mL·j−1 ou en cas de perte de poids. Chylothorax following blunt chest trauma is a rare event. The presence of a cloudy or milky persistent pleural effusion should suggest the possibility of its chylous origin. The diagnosis is made by analysis of the fluid obtained either from thoracentesis or tube thoracostomy. A lymphangiogram can show the site of the lesion, but computed tomography is a more recent and probably as helpful diagnostic test. An efficient control of the chylous effusion may be facilitated by using a fat-poor enterai nutrition and parenteral nutrition, which prevents malnutrition. Surgical ligation of the thoracic duct is relatively simple and efficient. It is indicated when the daily chylous flow is over 500 mL after 2 or 3 weeks of medical treatment or in case of weight loss." @default.
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- W2091276110 date "1996-01-01" @default.
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- W2091276110 title "Chylothorax après traumatisme fermé du thorax" @default.
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- W2091276110 doi "https://doi.org/10.1016/0750-7658(96)85040-4" @default.
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