摘要
本文报道1例甲状腺癌术后并发乳糜漏患者的护理过程，患者行甲状腺癌根治术及淋巴结清扫术后出现乳糜漏，通过及时诊断、针对性护理干预（包括饮食管理、引流管护理、局部加压包扎、手术治疗及心理支持），有效控制乳糜漏，促进患者康复，护理过程强调多学科协作及个体化干预，为同类病例护理提供参考。
关键词： 甲状腺癌；乳糜漏；手术治疗；护理干预
Abstract
This article reports the nursing process of a patient with chylous leakage after thyroid cancer surgery. The patient developed chylous leakage after radical thyroidectomy and lymph node dissection. Through timely diagnosis and targeted nursing intervention (including dietary management, drainage tube care, local compression bandaging, surgical treatment and psychological support), chylous leakage was effectively controlled and the patient's recovery was promoted. The nursing process emphasizes multidisciplinary collaboration and individualized intervention, providing a reference for the nursing of similar cases.
Key words： Thyroid cancer; Chylous leakage; Surgical treatment; Nursing intervention
参考文献 References
[1] 何奕卉,徐嘉,张子笠,等.甲状腺癌颈清扫术后大量乳糜漏2例治疗体会[J].山东第一医科大学（山东省医学科学院）学报,2024,45(2):108-110.
[2] 陈芬.临床药师参与1例甲状腺癌术后乳糜漏患者的药学监护[J].临床合理用药杂志,2024,17(13):124-127.
[3] 代立媛,吴俊福,张旭,等.橄榄油标记对甲状腺癌患者行甲状腺癌根治术和颈部淋巴结清扫术后乳糜漏的预防作用[J].新乡医学院学报,2021,38(4):4.
[4] 梁美,张令鸣,许腾,等.甲状腺癌术后乳糜漏预防和管理的最佳证据总结[J].中国实用护理杂志,2025,41(11):849-858.
[5] 寇翠敏,戴丹丹,王晓雷.45例甲状腺癌患者术后乳糜漏的护理[J].中国肿瘤临床与康复,2021,28(2):3.
[6] 周盼盼,孙姗姗.甲状腺癌颈部淋巴结清扫术后乳糜漏的现状及护理研究[J].吉林医学,2023,44(9):2559-2562.
[7] 刘丹,王占龙,任琬龙,等.甲状腺癌颈清扫术后颈部重度乳糜漏保守治疗一例报道[J].内蒙古医学杂志,2023, 55(9):1149-1151.
[8] 尹若玉,金立莉.一例甲状腺癌根治术后患者并发乳糜漏的护理[J].中文科技期刊数据库（全文版）医药卫生, 2021(8):109-110.