GKD Anest Yoð Bak Dern Derg. 2016; 22(1): 41-44 | DOI: 10.5222/GKDAD.2016.041

Akut Sýkýntýlý Solunum Sendromunun nadir sebebi: Þilotoraks

Beliz Bilgili, Fethi Gül, Ýsmail Cinel
Marmara Üniversitesi Týp Fakültesi, Anesteziyoloji Ana Bilim Dalý, Ýstanbul

Þilotoraks, ductus torasikusun travma veya altta yatan kansere baðlý olarak kesilmesi veya týkanmasý sonucu meydana gelmektedir. Yüksek trigliserid ve düþük kolestrol ile karakterize plevral efüzyonun nadir sebebidir. Þilotoraks iliþkili akut sýkýntýlý solunum sendromu (Acute Respiratory Distress Syndrome; ARDS) ender görülen bir durumdur. Olgu sunumunda, koruyucu mekanik ventilasyon stratejileri, uzun sureli pron pozisyon ve ductus torasikus ligasyonu ile tedavi edilen, yüksek akým þilotoraksa baðlý geliþen ARDS hastasý aktarýlmýþtýr.

Anahtar Kelimeler: þilotoraks, pron pozisyon, akut sýkýntýlý solunum sendromu

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A rare cause of acute respiratory distress syndrome: Chylothorax

Beliz Bilgili, Fethi Gül, Ýsmail Cinel
Department Of Anesthesiology, Marmara University, School Of Medicine, Ýstanbul, Turkey

Chylothorax is the disruption or obstruction of thoracic duct as a result of trauma or neoplasms. It is a rare cause of pleural effusion characterized by high triglyceride and low cholesterol concentrations. Cyhlothorax related acute respiratory distress syndrome is an uncommon condition. Herein, we report and discuss a case that developed acute respiratory distress syndrome (ARDS) due to high flow chylothorax, which was treated by protective mechanical ventilation strategies, prolonged prone position and thoracic duct ligation.

Keywords: chylothorax, prone position, acute respiratory distress syndrome

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