Nursing Care of Four Cases of Neonatal Chylothorax_West China Medical Journal

Authors：

 WUXiao-hong ,  WANXing-li

Department of Neonatology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WANXing-li, Email: 1017085736l2@qq.com

Keywords：

Neonate; Chylothorax; Care

DOI：

10.7507/1002-0179.20150097

Video：

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Objective To investigate the caring method for neonatal chylothorax. Methods We retrospectively analyzed the clinical data of four hospitalized patients admitted from December 2011 to February 2013. Results The treatment course lasted from 7 to 43 days, averaging 25 days. Three patients were cured and discharged from the hospital; one patient with ineffective outcome by conservative treatment was turned into surgical operation. Conclusion In order to facilitate the recovery of the neonates suffering from neonatal chylothorax, it is important for us to ensure appropriate dietary management, total parental nutrition support, observation and care of closed drainage tube of thoracic cavity, accurate medication, safe intravenous fluids access and infection control.

Citation： WUXiao-hong, WANXing-li. Nursing Care of Four Cases of Neonatal Chylothorax. West China Medical Journal, 2015, 30(2): 329-332. doi: 10.7507/1002-0179.20150097 Copy

1.	邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 北京:人民卫生出版社, 2011:411-412.
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4.	李晓莲, 彭学宏, 黄伟哲, 等. 乳糜胸4例的饮食护理[J]. 中国误诊学杂志, 2007, 7(20):4896.
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6.	Al-Tawil K, Ahmed G, Al-Hathal M, et al. Congenital chylothorax[J]. Am J Perinatol, 2000, 17(03):121-126.
7.	楚阳, 陈永梅, 李丹莹, 等. 新生儿乳糜胸的护理[J]. 护理学报, 2010, 17(18):47-48.
8.	王笃兰. 小儿先天性心脏病术后并发乳糜胸8例护理体会[J]. 齐鲁护理杂志, 2007, 13(20):32-33.
9.	Beghetti M, La Scala G, Belli D, et al. Etiology and management of pediatric chylothorax[J]. J Pedia, 2000, 136(5):653-658.
10.	Le Nué R, Molinaro F, Gomes-Ferreira C, et al. Surgical management of congenital chylothorax in children[J]. Eur J Pediatr Surg, 2010, 20(5):307-311.
11.	Siu SL, Lam DS. Spontaneous neonatal chylothorax treated with octreotide[J]. J Paediatr Child Health, 2006, 42(1/2):65-67.
12.	Horvers M, Mooij CF, Antonius TA. Is octreotide treatment useful in patients with congenital chylothorax?[J]. Neonatology, 2012, 101(3):225-231.
13.	刘晶. 新生儿乳糜胸诊疗进展[J]. 吉林医学, 2012, 33(8):1661-1663.
14.	仝海霞, 张玉, 李国曦, 等. 新生儿乳糜胸一例的临床特点及护理体会[J]. 解放军护理杂志, 2009, 26(23):55-56.
15.	魏立, 曹辛, 董克刚. 新生儿先天性乳糜胸诊治体会[J]. 中华小儿外科杂志, 2009, 30(5):334-335.
16.	Consigli C, Tempera A, Alegiani C, et al. Ventilation mode and outcome of premature infants with congenital chylothorax[J]. J Matern-Fetal Neonatal Med, 2012, 25(9):1627-1630.
17.	俞君, 廖爱琴, 项伟菊. 14例新生儿先天性乳糜胸的护理[J]. 中华护理杂志, 2011, 46(5):519-520.

1. 邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 北京:人民卫生出版社, 2011:411-412.
2. 平鹦, 王崇伟, 阚清, 等. 全肠外营养联合生长抑素治疗新生儿先天性乳糜胸[J]. 肠外与肠内营养, 2009, 16(6):366-367.
3. Foo NH, Hwang YS, Lin CC, et al. Congenital chylothorax in a latepreterm infant and successful treatment with octreotide[J]. Pediatr Neonatol, 2011, 52(5):297-301.
4. 李晓莲, 彭学宏, 黄伟哲, 等. 乳糜胸4例的饮食护理[J]. 中国误诊学杂志, 2007, 7(20):4896.
5. 杨春芳. 陆达林.新生儿乳糜胸[J]. 中国新生儿科杂志, 2008, 23(6):370-372.
6. Al-Tawil K, Ahmed G, Al-Hathal M, et al. Congenital chylothorax[J]. Am J Perinatol, 2000, 17(03):121-126.
7. 楚阳, 陈永梅, 李丹莹, 等. 新生儿乳糜胸的护理[J]. 护理学报, 2010, 17(18):47-48.
8. 王笃兰. 小儿先天性心脏病术后并发乳糜胸8例护理体会[J]. 齐鲁护理杂志, 2007, 13(20):32-33.
9. Beghetti M, La Scala G, Belli D, et al. Etiology and management of pediatric chylothorax[J]. J Pedia, 2000, 136(5):653-658.
10. Le Nué R, Molinaro F, Gomes-Ferreira C, et al. Surgical management of congenital chylothorax in children[J]. Eur J Pediatr Surg, 2010, 20(5):307-311.
11. Siu SL, Lam DS. Spontaneous neonatal chylothorax treated with octreotide[J]. J Paediatr Child Health, 2006, 42(1/2):65-67.
12. Horvers M, Mooij CF, Antonius TA. Is octreotide treatment useful in patients with congenital chylothorax?[J]. Neonatology, 2012, 101(3):225-231.
13. 刘晶. 新生儿乳糜胸诊疗进展[J]. 吉林医学, 2012, 33(8):1661-1663.
14. 仝海霞, 张玉, 李国曦, 等. 新生儿乳糜胸一例的临床特点及护理体会[J]. 解放军护理杂志, 2009, 26(23):55-56.
15. 魏立, 曹辛, 董克刚. 新生儿先天性乳糜胸诊治体会[J]. 中华小儿外科杂志, 2009, 30(5):334-335.
16. Consigli C, Tempera A, Alegiani C, et al. Ventilation mode and outcome of premature infants with congenital chylothorax[J]. J Matern-Fetal Neonatal Med, 2012, 25(9):1627-1630.
17. 俞君, 廖爱琴, 项伟菊. 14例新生儿先天性乳糜胸的护理[J]. 中华护理杂志, 2011, 46(5):519-520.

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