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一名患有双侧难治性乳糜胸的新生儿——病例报告。

A neonate with bilateral refractory chylothorax--a case report.

作者信息

Salem P

机构信息

Dept. of Paediatric, Hospital USM, Kubang Kerian, Kelantan.

出版信息

Med J Malaysia. 1991 Dec;46(4):376-8.

PMID:1840449
Abstract

A thirty six week gestation male baby weighing three kilogram was born to a twenty five year old mother by spontaneous vaginal delivery. At four hours of life, the baby developed respiratory distress with cyanosis and was admitted to the neonatal intensive care unit. There was clinical and radiological evidence of bilateral pleural effusion. Thoracentesis revealed a transudate. Repeated thoracentesis was necessary to relieve the respiratory distress. Subsequently, multi resistant Klebsiella aerogenes was isolated from the blood. The baby expired due to gram negative sepsis.

摘要

一名25岁的母亲经自然阴道分娩产下一名妊娠36周、体重3千克的男婴。出生4小时后,婴儿出现呼吸窘迫伴发绀,被收入新生儿重症监护病房。有临床和放射学证据表明存在双侧胸腔积液。胸腔穿刺抽出漏出液。为缓解呼吸窘迫,需要反复进行胸腔穿刺。随后,从血液中分离出多重耐药的产气克雷伯菌。婴儿因革兰氏阴性菌败血症死亡。

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引用本文的文献

1
Congenital Chylothorax of the Newborn: A Systematic Analysis of Published Cases between 1990 and 2018.新生儿先天性乳糜胸:1990 年至 2018 年发表病例的系统分析。
Respiration. 2022;101(1):84-96. doi: 10.1159/000518217. Epub 2021 Sep 1.