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先天性心脏病手术后并发乳糜胸的治疗：一例报告

Treatment of chylothorax developed after congenital heart disease surgery: a case report.

作者信息

Bulut Ozgul, Gul Doruk, Sevuk Sibel, Mungan Ilke, Buyukkayhan Derya

机构信息

Department of Neonatology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

出版信息

North Clin Istanb. 2015 Dec 25;2(3):227-230. doi: 10.14744/nci.2015.58569. eCollection 2015.

DOI:10.14744/nci.2015.58569
PMID:28058372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5175111/
Abstract

Chylothorax is defined as the accumulation of lymphatic fluid or chyle in the pleural space. Chylothorax treatment is composed of conservative; pleural drainage, termination of enteral feeding, total parenteral nutrition and supplementation with medium- chain triglycerides and surgical therapies; ductus thoracicus ligation, pleuroperitoneal shunts or pleuredesis. Nowadays, for cases among which conservative therapies fail, treatment with octreotide has been reported to be beneficial with promising results. A neonate who developed chylothorax after surgery performed for congenital heart disease was treated successfully with octreotide.

摘要

乳糜胸的定义为胸膜腔内淋巴液或乳糜的积聚。乳糜胸的治疗包括保守治疗；胸腔引流、停止肠内喂养、全胃肠外营养以及补充中链甘油三酯，还有手术治疗；胸导管结扎、胸膜腹膜分流术或胸膜固定术。如今，对于保守治疗失败的病例，据报道使用奥曲肽治疗有益且效果良好。一名先天性心脏病手术后发生乳糜胸的新生儿成功接受了奥曲肽治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/2ab7628a4b79/NCI-2-227-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/f1fab4a49ce6/NCI-2-227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/b05fd35e9eee/NCI-2-227-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/2ab7628a4b79/NCI-2-227-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/f1fab4a49ce6/NCI-2-227-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/b05fd35e9eee/NCI-2-227-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e7/5175111/2ab7628a4b79/NCI-2-227-g003.jpg

相似文献

1
Treatment of chylothorax developed after congenital heart disease surgery: a case report.先天性心脏病手术后并发乳糜胸的治疗：一例报告
North Clin Istanb. 2015 Dec 25;2(3):227-230. doi: 10.14744/nci.2015.58569. eCollection 2015.
2
[Chylothorax].[乳糜胸]
Minerva Pediatr. 2010 Jun;62(3 Suppl 1):89-91.
3
Idiopathic congenital chylothorax presented with severe hydrops and treated with octreotide in term newborn.特发性先天性乳糜胸在足月儿中表现为严重水肿，并接受奥曲肽治疗。
J Matern Fetal Neonatal Med. 2009 Dec;22(12):1197-200. doi: 10.3109/14767050903029618.
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Report of three cases: congenital chylothorax and treatment modalities.三例报告：先天性乳糜胸及治疗方式
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Octreotide in the treatment of congenital chylothorax.奥曲肽治疗先天性乳糜胸
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Low Dose of Octreotide Can be Helpful in the Management of Congenital Chylothorax.低剂量奥曲肽有助于先天性乳糜胸的治疗。
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[Nutritional support and treatment of chylothorax with octreotide].
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本文引用的文献

1
Chylothorax in infants and children.婴幼儿乳糜胸。
Pediatrics. 2014 Apr;133(4):722-33. doi: 10.1542/peds.2013-2072. Epub 2014 Mar 31.
2
Chylothorax after surgery for congenital heart disease.先天性心脏病手术后乳糜胸。
Curr Opin Pediatr. 2012 Jun;24(3):291-4. doi: 10.1097/MOP.0b013e3283534b7f.
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A pediatric case of anaphylaxis due to octreotide.一例儿童奥曲肽过敏反应病例。
Asian Pac J Allergy Immunol. 2011 Dec;29(4):361-3.
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Chylothorax after surgery on congenital heart disease in newborns and infants -risk factors and efficacy of MCT-diet.新生儿及婴幼儿先天性心脏病手术后的乳糜胸——危险因素及中链甘油三酯饮食的疗效
J Cardiothorac Surg. 2010 Dec 13;5:127. doi: 10.1186/1749-8090-5-127.
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[Chylothorax].[乳糜胸]
Minerva Pediatr. 2010 Jun;62(3 Suppl 1):89-91.
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Surgical ligation of cisterna chyli: an alternative treatment for chronic chylothorax in children.手术结扎胸导管：治疗儿童慢性乳糜胸的一种替代方法。
Ann Thorac Surg. 2010 Nov;90(5):1732-4. doi: 10.1016/j.athoracsur.2009.12.019.
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Octreotide for the treatment of chylothorax in neonates.奥曲肽用于治疗新生儿乳糜胸。
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Octreotide in the treatment of neonatal postoperative chylothorax: report of three cases and literature review.奥曲肽治疗新生儿术后乳糜胸：三例报告及文献复习
Pediatr Surg Int. 2011 Aug;27(8):805-9. doi: 10.1007/s00383-010-2730-2. Epub 2010 Sep 7.
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Octreotide--additional conservative therapy for postoperative chylothorax in congenital heart disease.奥曲肽——先天性心脏病术后乳糜胸的额外保守治疗方法
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Chylothorax: diagnosis and management in children.乳糜胸：儿童的诊断和管理。
Paediatr Respir Rev. 2009 Dec;10(4):199-207. doi: 10.1016/j.prrv.2009.06.008. Epub 2009 Sep 26.