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一例迟发性左侧先天性膈疝修补术后并发乳糜胸的病例报告。

A late presenting left-sided congenital diaphragmatic hernia repair complicated by postoperative chylothorax: A case report.

作者信息

Upadhaya Sandesh Raj, Joshi Utsav, Gyawali Sagar, Thapa Bijay, Thapa Anupama

机构信息

Department of Pediatric Surgery Kanti children's Hospital Kathmandu Nepal.

Department of Internal Medicine Rochester general hospital New York NY USA.

出版信息

Clin Case Rep. 2020 Nov 11;9(1):350-354. doi: 10.1002/ccr3.3528. eCollection 2021 Jan.

DOI:10.1002/ccr3.3528
PMID:33489181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813110/
Abstract

Management of chylothorax after repair of late presenting congenital diaphragmatic hernia is debatable. Conservative management in the form of close monitoring of chylous output with nutritional support appears convincing to surgery.

摘要

晚期出现的先天性膈疝修补术后乳糜胸的管理存在争议。以密切监测乳糜排出量并给予营养支持的形式进行保守管理似乎比手术更有说服力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/cd42f70dd3ce/CCR3-9-350-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/b8c3d0021a7d/CCR3-9-350-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/bf02d75e11bf/CCR3-9-350-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/cd42f70dd3ce/CCR3-9-350-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/b8c3d0021a7d/CCR3-9-350-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/bf02d75e11bf/CCR3-9-350-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c874/7813110/cd42f70dd3ce/CCR3-9-350-g003.jpg

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A late presenting left-sided congenital diaphragmatic hernia repair complicated by postoperative chylothorax: A case report.一例迟发性左侧先天性膈疝修补术后并发乳糜胸的病例报告。
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本文引用的文献

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The Congenital Diaphragmatic Hernia Study Group Registry.先天性膈疝研究组登记处
Eur J Pediatr Surg. 2015 Dec;25(6):488-96. doi: 10.1055/s-0035-1569151. Epub 2015 Dec 7.
2
Revisiting outcomes of right congenital diaphragmatic hernia.重新审视先天性右侧膈疝的治疗结果。
J Surg Res. 2015 Oct;198(2):413-7. doi: 10.1016/j.jss.2015.03.090. Epub 2015 Apr 3.
3
Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome.迟发性先天性膈疝：诊断误区与结局。
Hernia. 2012 Aug;16(4):461-6. doi: 10.1007/s10029-012-0906-5. Epub 2012 Mar 7.
4
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.
5
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.
6
Chylothorax after congenital diaphragmatic hernia repair.先天性膈疝修补术后乳糜胸
J Pediatr Surg. 2009 Jun;44(6):1181-5; discussion 1185. doi: 10.1016/j.jpedsurg.2009.02.021.
7
Pleural effusion requiring drainage in congenital diaphragmatic hernia: incidence, aetiology and treatment.先天性膈疝中需要引流的胸腔积液：发病率、病因及治疗
Pediatr Surg Int. 2006 Jul;22(7):585-8. doi: 10.1007/s00383-006-1706-8. Epub 2006 Jun 13.
8
Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum.儿童迟发性先天性膈疝：临床谱系
Pediatr Surg Int. 2004 Sep;20(9):658-69. doi: 10.1007/s00383-004-1269-5. Epub 2004 Sep 3.
9
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10
Bochdalek diaphragmatic hernia: not only a neonatal disease.
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