Dijagnostika i liječenje hilotoraksa

master's thesis

• Title (english): Diagnosis and treatment of chylothorax
• Author: Paula Vitković
• Mentor: Tomislav Bečejac (mentor)
• Committee member: Vedran Cesarec (član povjerenstva)
• Committee member: Anko Antabak (član povjerenstva)
• Committee member: Tomislav Bečejac (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Hilotoraks, rijedak medicinski entitet, prisutnost je limfe u pleuralnom prostoru. Etiologija hilotoraksa je brojna, a može se podijeliti na traumatske i netraumatske uzroke. Traumatski uzroci uglavnom su rezultat operacije ili nekirurške traume, dok su najčešći netraumatski uzroci malignitet, kongenitalna stanja ili infekcije. Dijagnoza se postavlja na temelju detaljne anamneze, fizikalnog pregleda, slikovnih pretraga te invazivnih procedura poput torakocenteze. Liječenje je, kad god je to moguće, konzervativno, što uključuje modifikaciju prehrane, jednokratne ili opetovane drenaže te primjenu somatostatina. U slučajevima kada konzervativno liječenje ne uspijeva, neophodne su interventno - radiološke ili kirurške metode liječenja. Ovaj rad ističe važnost pravovremenog postavljanja dijagnoze i individualiziranog pristupa u liječenju hilotoraksa radi poboljšanja ishoda liječenja i smanjenja mogućih komplikacija.

Abstract (english)

Chylothorax, a rare medical condition, is the presence of chyle in the pleural space. Etiology of chylothorax is diverse, categorized into traumatic and non-traumatic causes. Traumatic causes are usually result of surgery or nonsurgical trauma, while most common non-traumatic causes are due to malignancy, congenital conditions or infections. The diagnosis is based on detailed medical history, physical examination, imaging studies and invasive procedures, such as thoracocentesis. Treatment is, whenever possible, conservative, including dietary modifications, single or repeated drainage and the use of somatostatin. When conservative treatment fails, interventional radiology or surgical methods are necessary. This paper emphasizes the importance of prompt diagnosis and individualized approach to chylothorax treatment to improve treatment outcomes and reduce potential complications.

• Keywords: hilotoraks; limfa; konzervativno i invazivno liječenje
• Keywords (english): chylothorax; lymph; conservative and invasive treatment
• Language: croatian
• URN:NBN: urn:nbn:hr:105:005974
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-06-26 09:27:05