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目的总结甲状腺癌行颈廓清术并发乳糜瘘的治疗及护理方法。方法 2008年8月2009年10月,对8例甲状腺癌行颈廓清术发生乳糜瘘患者,采用局部加压包扎,引流管接负压器充分引流或手术缝扎乳糜管等治疗,并进行心理护理、营养指导、引流管监护、并发症的预防等专科护理和基础护理。结果 4例患者经保守治疗、4例患者采用手术缝扎乳糜管,治愈出院。结论对甲状腺癌颈廓清术后并发乳糜瘘患者,采取适当的治疗方法及正确的护理措施,能促进患者尽快早日康复出院,缩短住院时间和减少经济负担。
Objective To summarize the treatment and nursing of the patients with thyroid carcinoma undergoing neck dissection and chylous fistula. Methods August 2008 October 2009, 8 cases of thyroid cancer neck dissection in patients with chylous fistula, the use of local pressure bandage, drainage tube connected to the negative pressure drainage device or surgical suture chylothorax and other treatment, and psychological Nursing, nutrition guidance, drainage tube custody, prevention of complications such as specialist nursing and basic nursing. Results 4 patients were treated conservatively, and 4 patients were surgically sutured with chylothorax and cured. Conclusions The appropriate treatment and correct nursing measures for patients with thyroid cancer after neck dissection and chylous fistula can promote patients to get discharged as soon as possible, reduce hospitalization time and reduce economic burden.