Go Lymphorrhea (lymphorrhagia)


Lymphorrhea (synonym lymphorrhagia) - is the outflow of lymph as a result of injury or damage to the lymphatic vessels during operations, with a rupture of lymphangiectasia (see). The intensity and duration of imparai depend on the caliber of the damaged vessel or the extent of the damaged area. A long and massive lymphorrhea requires the replacement of a lost lymph by plasma transfusion and protein plasma substitutes. Lymphorrhea often stops on its own, in resistant cases it requires ligation of the vessel ; on limbs, Lymphorum can be stopped with a pressure bandage (see Bandages ).

Lymphorrhea (lymphorrhea; lymph + Greek. Rhoia - current, outflow; synonym lymphorrhagia) - outflow of lymph from the lymphatic vessels. Occurs when there are wounds of lymphatic trunks (mainly the thoracic duct), if they are damaged during an operation in the thoracic or abdominal cavities or bone fragments at a fracture of Th VII — X or VII — IX ribs with rupture of the pleura, and after operations in areas rich in lymphatic vessels, for example, when removing the breast with axillary lymph nodes. Lymphorrhea from the thoracic duct when injuring the chest can lead to chylous pleurisy (chylothorax) or chylous ascites.

Spontaneous rupture of the lymphatic vessels in lymphangiectasia can also cause lymphorrhea. Depending on the location of the damage and the degree of stagnation in the vessels of the lymphatic system, the lymph can only ooze or drip and even flow. Lymphorrhea lasts from several hours to several days. It can stop on its own, resume and take on a cyclical character, repeating in 2–4–6 weeks. The intensity of imparai can be very high: the loss of lymph up to several liters greatly weakens the patients. In these cases, replacement plasma transfusion is necessary. The strongest lymphora is observed in case of damage to the thoracic duct and in lymphangiectasia of the lower extremities, scrotum, and female external genital organs.

Treatment . The patient is placed in bed with a raised limb, put a pressure bandage. If at the same time, clan lymphorrhea does not stop, then a cross stitch is placed on the opening from which the lymph is secreted. When lymphorrhea from the thoracic duct produce its ligation (see. Thoracic duct).