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本文报告食管癌根治性切除１６１０例，术后并发乳糜胸２０例。胸管持续引流及支持疗法治疗４例，治愈２例，死亡２例。再次手术经左胸淋巴管断端结扎１例，经右胸低位膈上胸导管结扎１５例，皆痊愈。文中讨论了乳糜胸产生的原因、预防措施、诊断、治疗、饮食、营养供给等问题。指出术中逐一结扎食管周围索条状组织，可减少乳糜胸的产生；术后每日胸管引流淡红色液体５００ｍｌ以上，持续数日，应疑有乳糜胸。胸液检查，淋巴细胞５０％以上，乳糜试验阳性，苏丹Ⅲ染色找到脂肪球，可明确诊断。一经确诊，多数需再次手术行胸导管结扎。为保证营养，术后一般不禁饮食，合并吻合口瘘者经空肠造瘘供给营养。
This article reports 1610 cases of radical resection of esophageal cancer and postoperative chylothorax in 20 cases. The chest tube continued drainage and supportive therapy in 4 cases, 2 cases were cured, and 2 cases died. One patient underwent left thoracic lymphatic duct ligation again, and 15 patients underwent upper thoracic duct ligation on the right chest and all recovered. This article discusses the causes of chylothorax, prevention measures, diagnosis, treatment, diet, and nutritional supply. It was pointed out that the ligation of the striated tissue around the esophagus one by one during the operation can reduce the occurrence of chylothorax; the daily chest tube drainage is more than 500 ml of light red liquid, and for several days, chylothorax should be suspected. Examination of pleural fluid, lymphocytes more than 50%, positive chylous test, Sudan III staining to find fat balls, can confirm the diagnosis. Once diagnosed, most need to be re-operative thoracic duct ligation. In order to ensure nutrition, generally can not help after diet, combined with anastomotic fistula by jejunostomy nutrition.