[新生儿期乳糜胸]
[Chylothorax in the neonatal period].
作者信息
van Straaten H L, Gerards L J, Krediet T G, Brouwers H A
机构信息
Neonatoloog, Universiteitskliniek voor Kinderen en jeugdigen, Het Wilhelmina Kinderziekenhuis, Utrecht.
出版信息
Tijdschr Kindergeneeskd. 1992 Feb;60(1):22-6.
The data of 11 infants with chylothorax in the neonatal period, seven with congenital chylothorax and 4 infants with iatrogenic chylothorax are reported. Chylothorax in the neonatal period may cause birth asphyxia and serious respiratory problems. Among the infants with congenital chylothorax diagnosis can be established before birth by ultrasound technique, followed by optimal resuscitation to prevent asphyxia. In most of the cases, conservative treatment with continuous drainage and total parenteral nutrition is sufficient.
本文报告了11例新生儿乳糜胸病例，其中7例为先天性乳糜胸，4例为医源性乳糜胸。新生儿乳糜胸可能导致出生时窒息和严重的呼吸问题。对于先天性乳糜胸患儿，可在出生前通过超声技术确诊，随后进行最佳复苏以预防窒息。在大多数情况下，持续引流和全胃肠外营养的保守治疗就足够了。
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