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Chylothorax

呼吸

关键词呼吸 疾病 乳糜液溢入胸膜腔

词汇介绍

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解析

Chylothorax   /,kailəu'θɔ:ræks/ 

释    义   n. [内科] 乳糜胸;[内科] 乳糜性水胸

例    句   To study the diagnosis and treatment of postoperative chylothorax of esophagus carcinoma. 探讨食管癌术后乳糜胸的诊断与治疗。

概述

疾病概述 不同原因导致胸导管或其分支破裂或阻塞,使乳糜液溢入胸膜腔,即形成乳糜胸。 致病因素或病理机制(一)创伤性(1)医源性:胸腔手术、左锁骨下静脉穿刺。(2)外伤:颈、胸部外伤累及胸导管、肋骨或脊椎骨折刺伤。(3)其他:咳嗽、举重、剧烈呕吐、脊柱突然过伸、打哈欠等动作,使胸导管断裂。(二)恶性肿瘤:以淋巴瘤最为常见,其他包括恶性肿瘤纵隔淋巴结侵犯、间皮瘤、胃食管肿瘤、胰腺癌等。(三)感染性疾病:以结核病最为多见。少见的有非结核分枝杆菌病和丝虫病等。(四)包括淋巴肌管瘤疾病病、弥漫性

Congenital Heart Surgery Outcomes in Turner Syndrome: The Society of Thoracic Surgeons Database Analysis复制标题

特纳综合征的先天性心脏手术结果: 胸外科医师协会数据库分析

发表时间:2019-07-09

影响因子:3.9

作者: Chew JD

期刊:Ann. Thorac. Surg.

The Society of Thoracic Surgeons Congenital Heart Surgery Database was used to evaluate index cardiovascular operations performed from 2000 to 2017 in pediatric patients (aged 0-18 years) with and without TS. Analyses were stratified by the most common operations, including coarctation repair, aortic arch repair, partial anomalous pulmonary venous return repair, Norwood, superior cavopulmonary anastomosis (Glenn), and Fontan. Included were 780 operations in TS and 62,659 operations in controls. The most common TS operations were coarctation repair in 274 (35%), aortic arch repair in 116 (15%), and Norwood in 59 (8%). Compared with controls, TS patients had lower weight-for-age Z-scores across all operations (P < .01 for all); however, operative mortality rates did not differ significantly. The chylothorax rate was higher in TS after coarctation repair (8.8% vs 2.8%, P < .001) and Norwood (22% vs 8.1%, P < 0.001).

译文

胸外科医师学会先天性心脏外科手术数据库用于评估2000年至2017年在有和没有TS的小儿患者(0-18岁)中进行的心血管指数手术。 通过最常见的手术对分析进行分层,包括缩窄修复,主动脉弓修复,部分异常肺静脉回流修复,Norwood,上腔静脉吻合术(Glenn)和Fontan。 包括TS中的780次操作和控件中的62,659次操作。 最常见的TS手术是274例(35%)的缩窄修复,116例(15%)的主动脉弓修复和59例(8%)的Norwood。 与对照组相比,TS患者在所有手术中的年龄加权Z评分均较低(所有P均<0.01); 但是,手术死亡率没有显着差异。 缩窄修复后TS的乳糜胸发生率较高(8.8%vs. 2.8%,P <.001)和Norwood(22%vs 8.1%,P <0.001)。