Bulut Ozgul, Gul Doruk, Sevuk Sibel, Mungan Ilke, Buyukkayhan Derya
Department of Neonatology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.
North Clin Istanb. 2015 Dec 25;2(3):227-230. doi: 10.14744/nci.2015.58569. eCollection 2015.
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.
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。