天津医药

天津医药 ›› 2020, Vol. 48 ›› Issue (4): 306-308.doi: 10.11958/20192774

• 临床研究 • 上一篇    下一篇

老年多发空肠憩室合并小肠系膜扭转致乳糜漏一例 #br#

宋冰，张文婧△
  

  1. 天津市第一中心医院普外科（邮编300192）
  • 收稿日期:2019-09-09 修回日期:2020-03-03 出版日期:2020-04-15 发布日期:2020-06-23
  • 通讯作者: 张文婧 E-mail:wen2002jing@126.com
  • 作者简介:宋冰（1979），男，硕士，副主任医师，主要从事胃肠道疾病的外科治疗方面研究

Chylous leakage caused by multiple jejunum diverticulum combined with#br# mesentery volulus in the elderly: a case report #br#

SONG Bing，ZHANG Wen-jing△ #br#   

  1. Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China
  • Received:2019-09-09 Revised:2020-03-03 Published:2020-04-15 Online:2020-06-23
  • Contact: ZHANG Wen-jing E-mail:wen2002jing@126.com

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摘要： 小肠系膜扭转并发肠梗阻是外科急腹症之一，其起病急、进展快、多合并肠管血运障碍，如不及时处理，常
常出现肠穿孔、肠坏死及腹膜炎，严重危及患者生命。肠系膜扭转引起肠梗阻及坏死病例较多，但同时引发淋巴回
流障碍从而导致乳糜漏的病例则少见报道。本文报告 1例老年多发空肠憩室合并小肠系膜扭转致乳糜漏患者的诊
治过程，探讨小肠系膜扭转致乳糜漏的治疗。

关键词: 空肠憩室, 肠系膜扭转, 乳糜漏

Abstract: Intestinal volvulus complicated with intestinal obstruction is one of acute abdominal diseases in surgery. The
onset and progression of intestinal volvulus are rapid, and most of them are complicated with intestinal blood supply disorder. If not treated in time, intestinal perforation, intestinal necrosis and peritonitis often occur, which seriously endangers the life of patients. There are many cases of intestinal obstruction and necrosis caused by mesentery volvulus, however the lymphatic leakage caused by it is rarely reported. This article reports the diagnosis and treatment of an elderly patient with chylous leakage caused by multiple jejunum diverticulum combined with mesentery volulus and discusses the treatment of chylous leakage caused by small mesentery torsion.

Key words: jejunal diverticulum, mesentery volvulus, chylous leakage

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