Jarir Rawia A, Rahman Sajjad Ur, Bassiouny Ibrahim El Sayed
Division of Perinatal Medicine Women's Hospital, Hamad Medical Corporation, Doha, Qatar.
J Clin Neonatol. 2012 Apr;1(2):91-5. doi: 10.4103/2249-4847.96767.
Chylothorax, a known complication of surgery for Congenital Diaphragmatic hernia, can sometimes be resistant to treat. Octeriotide (Somatostatin analogue) can be useful in this situation. However, the dose and schedule of Octeriotide therapy in neonates is not well established. We report two cases of resistant chylothorax following surgery for congenital diaphragmatic hernia which were successfully managed by using an escalating infusion of octeriotide. The literature on the subject is also reviewed.
乳糜胸是先天性膈疝手术的一种已知并发症,有时难以治疗。奥曲肽(生长抑素类似物)在这种情况下可能有用。然而,新生儿奥曲肽治疗的剂量和方案尚未完全确立。我们报告了两例先天性膈疝手术后难治性乳糜胸的病例,通过递增输注奥曲肽成功治愈。本文还对该主题的文献进行了综述。