Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Conservative Management of Postoperative Chylothorax Using Octreotide - A case report-

옥트레오타이드를 이용한 수술 후 유미흉의 보존적 치료 -1예 보고-

  • Kim Kun Il (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University) ;
  • Park Jong Un (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University) ;
  • Park Sang Hyun (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University) ;
  • Lee Jae Woong (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University) ;
  • Hong Ki Woo (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University) ;
  • Choi Young Jin (Department of Internal Medicine, College of Medicine, Hallym University) ;
  • Lee Weon Yong (Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred-heart Hospital, College of Medicine, Hallym University)
  • 김건일 (한림대학교 의과대학 흉부외과학교실) ;
  • 박종운 (한림대학교 의과대학 흉부외과학교실) ;
  • 박상현 (한림대학교 의과대학 흉부외과학교실) ;
  • 이재웅 (한림대학교 의과대학 흉부외과학교실) ;
  • 홍기우 (한림대학교 의과대학 흉부외과학교실) ;
  • 최영진 (한림대학교 의과대학 내과학교실) ;
  • 이원용 (한림대학교 의과대학 흉부외과학교실)
  • Published : 2005.12.01
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Abstract

Chylothorax is a rare but serious and well-recognized complication of thoracic and cardiac procedures. A postoperative chylothorax developed in a 3-month-old male patient after ligation of patent ductus arteriosus and repair of coarctation of aorta. He was treated successfully with conservative management using a combination of parenteral octreotide and medium-chain triglyceride (MCT) -enriched fomula with pleural drainage. We report a case of successful conservative treatment using octreotide for postoperative chylothorax.

유미흉은 드물지만 심각한, 잘 알려져 있는 흘부 및 심장 수술의 합병증이다. 동맥관 개존증 결찰 및 대동맥 축착증 교정술을 시행 받은 3개월 된 남자 환아에서 수술 후 유미흉이 발생하였다. 환자는 흉강 배액과 함께 옥트레오타이드 주사요법과 중쇄지방산 분유를 이용한 보존적 방법으로 성공적으로 치료되었다. 이에 저자들은 수술 후 발생한 유미흉 환자에서 옥트레오타이드를 사용한 보존적 치료로 좋은 결과를 치험하였기에 보고하는 바이다.

Keywords

References

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