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

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7.	楚陽, 陳永梅, 李丹瑩, 等. 新生兒乳糜胸的護理[J]. 護理學報, 2010, 17(18):47-48.
8.	王篤蘭. 小兒先天性心臟病術后并發乳糜胸8例護理體會[J]. 齊魯護理雜志, 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.	劉晶. 新生兒乳糜胸診療進展[J]. 吉林醫學, 2012, 33(8):1661-1663.
14.	仝海霞, 張玉, 李國曦, 等. 新生兒乳糜胸一例的臨床特點及護理體會[J]. 解放軍護理雜志, 2009, 26(23):55-56.
15.	魏立, 曹辛, 董克剛. 新生兒先天性乳糜胸診治體會[J]. 中華小兒外科雜志, 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, 廖愛琴, 項偉菊. 14例新生兒先天性乳糜胸的護理[J]. 中華護理雜志, 2011, 46(5):519-520.

1. 邵肖梅, 葉鴻瑁, 丘小汕. 實用新生兒學[M]. 北京:人民衛生出版社, 2011:411-412.
2. 平鸚, 王崇偉, 闞清, 等. 全腸外營養聯合生長抑素治療新生兒先天性乳糜胸[J]. 腸外與腸內營養, 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. 李曉蓮, 彭學宏, 黃偉哲, 等. 乳糜胸4例的飲食護理[J]. 中國誤診學雜志, 2007, 7(20):4896.
5. 楊春芳. 陸達林.新生兒乳糜胸[J]. 中國新生兒科雜志, 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. 楚陽, 陳永梅, 李丹瑩, 等. 新生兒乳糜胸的護理[J]. 護理學報, 2010, 17(18):47-48.
8. 王篤蘭. 小兒先天性心臟病術后并發乳糜胸8例護理體會[J]. 齊魯護理雜志, 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. 劉晶. 新生兒乳糜胸診療進展[J]. 吉林醫學, 2012, 33(8):1661-1663.
14. 仝海霞, 張玉, 李國曦, 等. 新生兒乳糜胸一例的臨床特點及護理體會[J]. 解放軍護理雜志, 2009, 26(23):55-56.
15. 魏立, 曹辛, 董克剛. 新生兒先天性乳糜胸診治體會[J]. 中華小兒外科雜志, 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, 廖愛琴, 項偉菊. 14例新生兒先天性乳糜胸的護理[J]. 中華護理雜志, 2011, 46(5):519-520.

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