Melnick J Z, McCarty C M, Hunchik M P, Alexander S R
Department of Pediatrics, University of Texas, Dallas 75235-9063, USA.
Pediatr Nephrol. 1995 Dec;9(6):753-5. doi: 10.1007/BF00868734.
We report the development of chylous ascites in a neonate as an uncommon complication during continuous peritoneal dialysis. Cloudy dialysis fluid containing many white blood cells might confuse the diagnosis of chylous ascites with infective peritonitis and result in inappropriate use of antibiotics. Resolution may be critical, since chyle removal during dialysis may result in profound immunosuppression and malnutrition due to lymphocyte and fat losses. After 4 weeks on a modified diet, the chyle leak resolved. The patient returned to breast milk and continues nighttime continuous-cycle peritoneal dialysis without further chyle leak.
我们报告了一名新生儿在持续腹膜透析期间发生乳糜性腹水这一罕见并发症。含有许多白细胞的浑浊透析液可能会使乳糜性腹水的诊断与感染性腹膜炎相混淆，并导致抗生素的不当使用。解决这一问题可能至关重要，因为透析过程中乳糜的清除可能会由于淋巴细胞和脂肪的流失而导致严重的免疫抑制和营养不良。经过4周的改良饮食，乳糜漏得到解决。患者恢复母乳喂养，并继续夜间持续循环腹膜透析，未再出现乳糜漏。
