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乳糜漏与乳糜胸为颈部手术的严重并发症之一,1875年由 Chever首先报道。我科自1960～1988年共施行颈淋巴廓清术110例(117侧),其中左侧62例次;右侧55例次。有5例(5/117侧,4.27％)发生左颈乳糜漏,其中1例并发左乳糜胸。现报告如下: 病例介绍例1 男,60岁,系喉癌放疗失败,于1976年12月10日入院诊为左声门型鳞癌T_3N_1M_0,行喉全切除及左颈淋巴廓清术。次日引流管中有乳糜液,后又发生咽瘘。经引流、加压包扎,21天后乳糜漏愈。后又因颈总动脉破溃而结扎,死于肺炎。例2 男,60岁。1979年5月7日入院诊为声门上型鳞癌T_3N_1M_0,行喉全切除及左颈淋巴廓清术。术后8天
Chylhydraemia and chylothorax are one of the serious complications of neck surgery, first reported by Chever in 1875. In our department, from 1960 to 1988, a total of 110 cases (117 sides) were undergone cervical lymphadenectomy, including 62 cases on the left side and 55 cases on the right side. There were 5 cases (5/117 side, 4.27%) of left cervix fistula, and 1 case complicated left chylothorax. The report is as follows: Case Description Case 1 Male, 60 years old, had failed to undergo radiotherapy for laryngeal cancer. On December 10, 1976, he was admitted to the hospital as a thyrotoxic squamous cell carcinoma T_3N_1M_0 with total laryngectomy and left cervical lymphadenectomy. The next day the drain tube had a chyle fluid, followed by a pharyngeal fistula. After drainage and pressure bandaging, the hernia leaked after 21 days. Afterwards, the common carotid artery ruptured and then died of pneumonia. Example 2 Male, 60 years old. On May 7, 1979, he was admitted to the hospital as a supraglottic squamous cell carcinoma T_3N_1M_0, underwent total laryngectomy, and left cervical lymphadenectomy. 8 days after surgery