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| 題 名 | Chylous Ascites after a Bilateral Nephrectomy in a Diabetic Patient: Case Report=一位糖尿病患經雙側腎臟切除後發生乳糜性腹水:病例報告 |
|---|---|
| 作 者 | 劉文正; 許舒淳; 黃莉棋; | 書刊名 | 輔仁醫學期刊 |
| 卷 期 | 9:3 2011.09[民100.09] |
| 頁 次 | 頁157-162 |
| 分類號 | 415.5 |
| 關鍵詞 | 乳糜性腹水; 中鏈三酸甘油酯; 體制素; Chylous ascites; Medium-chain triglyceride; Sandostatin; |
| 語 文 | 英文(English) |
| 中文摘要 | 手術後乳糜性腹水是後腹腔手術罕見的併發症,其發生於一位糖尿病患因氣腫性腎盂腎炎經雙側腎臟切除後,則更為罕見。我們報告一位40歲的女性糖尿病患因上述原因,發生手術後乳糜性腹水;經由腹水引流、中鏈三酸甘油酯為主的飲食,並經全腸道營養、體制素(sandostatin)注射等保守療法,而成功治癒。 |
| 英文摘要 | Postoperative chylous ascites is a rare complication of retroperitoneal surgery. Chylous ascites is even rarer after a bilateral nephrectomy due to emphysematous pyelonephritis in a diabetic patient. We report a case of a 40-year-old diabetic female, who suffered from chylous ascites following a bilateral nephrectomy for emphysematous pyelonephritis. The patient was successfully treated with therapeutic ascites drainage, a medium-chain triglyceride (MCT)-based diet, followed by total parenteral nutrition (TPN) and sandostatin administration. |
本系統中英文摘要資訊取自各篇刊載內容。