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患者女,56岁。半年前发现颈前有一肿物突出,约拇指头大小于2010年8月来我院就诊。行颈部彩超示甲状腺双侧叶结节变,给予手术治疗。行甲状腺右叶肿物切除术加甲状腺左叶全切除术。于术后病理报告:甲状腺右叶结节性肿,左叶为乳头状癌。遂及再次行左侧颈部淋巴结清除术。清除术范围包括下颌骨下缘,锁骨上缘,斜方肌内以及颈中线外的所有淋巴组织及脂肪结缔组织。术后局部留置负压引流管并给予皮肤加压。于术后48 h后突然出现引流管内大量白色乳糜样液体
Female patient, 56 years old. Six months ago, there was a prominent tumor in front of the neck, about the size of the thumb in August 2010 to our hospital. Neck ultrasound showed thyroid bilateral leaf nodule change, given surgical treatment. Thyroidectomy of the right lobe and left thyroidectomy. Postoperative pathology report: right thyroid nodular swelling, papillary carcinoma of the left lobe. Then again line left neck lymph node dissection. The scope of debridement includes all the lymphoid tissue and adipose connective tissue outside the lower edge of the mandible, the superior margin of the clavicle, the trapezius, and the midline of the neck. Postoperative partial indwelling negative pressure drainage tube and give the skin pressure. After 48 h, a large amount of white chylomicrons appeared in the drainage tube