- 期刊
新生兒乳糜胸三病例報告
Neonatal Chylothorax Three Cases Report
摘要
本院分別在民國72年5月，73年10月及12月經歷3例新生兒乳糜胸的病例，其中1例爲兩側性，另兩例則發生在右側。在這三個病例中，其中1例在産前超音波檢查，即發現有胸膜積水現象。三病例均施與診斷性胸膜穿刺，待診斷確立後，給與胸管引流、禁食、靜脈營養。三病例中，1例存活，1例死亡，另1例因家屬放棄治療而死亡。本文特就新生兒乳糜胸的臨床所見，診斷與治療，參考文獻，提出報告。
關鍵字
無資料並列摘要
Three cases of neonatal chylothorax are reported. One had bilateral chylothorax and the other two had right-sided effusion. In one patient antenatal sonography showed bilateral pleural effusions. The diagnosis of chylothorax was made by the milky appearance and/or, presence of more than 80% lymphocytes in the pleural fluid. Initial treatment included chest taps and/or drains, and the use of mechanical ventilation in one patient. Nothing per os with total parenteral nutrition was administered in all three patients. One survived and -death occurred in the other two patients. In this communication the clinical manifestations, diagnosis, and treatment of neonatal chylothorax are reviewed and discussed.
並列關鍵字
neonatal chylothorax延伸閱讀
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