摘要
目的探讨新生儿乳糜胸的诊断及治疗。方法回顾分析我院1999年6月至2011年8月收治的12例新生儿乳糜胸患儿的临床资料和治疗效果,其中男8例,女4例,日龄2h～28天,平均日龄(10.7±6.5)天。结果 12例新生儿乳糜胸中,3例经禁食,静脉营养支持等保守治疗后治愈,4例在保守治疗基础上予以胸腔穿刺抽液后治愈,4例经胸腔穿刺后予以留置胸腔闭式引流管后治愈,1例经外科行胸导管结扎后治愈。结论新生儿乳糜胸需尽早明确诊断,并及时予以禁食,静脉营养支持及胸腔穿刺抽液等保守治疗,必要时予以胸腔闭式引流及外科手术治疗。
Objective To explore the diagnosis and treatment of neonatal chylothorax. Methods The clincal data and therapeutic effect of 12 neonatus with chylothorax including 8 males and 4 females （aged 2 h to 28 days, average 10.7± 6.5 days） in our hospital from June 1999 to August 2011 were analysed retrospectively. Results In 12 cases of neonatal ehylothorax, 3 cases were cured by conservative therapy such as fasting and parenteral nutrition support; 4 cases were cured by thoracic puncture effusion basesd on conservative therapy; 4 cases were cured by detaining thoracic close drainage tube after thoracic puncture; one case was cured by ligating thoracic duct through surgical treatment. Conclusion Early clear diagnosis is the key to treating neonatal chylothorax; conservative therapies such as fasting, parenteral nutrition support and thoracic puncture effusion should be used timely; thoracic cavity closed drainage and surgical treatments are performed when necessary.
出处
《临床医学工程》
2012年第2期221-222,共2页
Clinical Medicine & Engineering
关键词
乳糜胸
新生儿
保守治疗
Chylothorax
Neonatal
Conservative treatment
