A CLINICAL CASE OF SIMULTANEOUS TREATMENT CHYLOTHORAX, CHYLOPERICARDIUM AND CHYLOPERITONEUM IN A NEWBORN

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Abstract

The article presents a clinical case of successful conservative treatment of a premature newborn with simultaneously-onset chylothorax, chylopericardium and chyloperitoneum. The nature of the effusion confirmed by biochemical studies and a predominance of lymphocytes. In intensive care used longterm parenteral nutrition, octreotide with increasing doses, mechanical ventilation and hunger. The duration of a full parenteral nutrition was 25 days. Enteral nutrition with gradual extension introduced after the complete disappearance of the liquid in the cavities on the 9th day from the beginning of therapy with octreotide. The child was discharged home at the age of 2 months 10 days. The article discusses the etiology, diagnosis and modern methods of intensive therapy of chylous effusion in neonates.

About the authors

Y. I. Kucherov

Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

E. V. Yashina

Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation

Email: noemail@neicon.ru
Russian Federation

Y. V. Zhirkova

Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation

Email: noemail@neicon.ru
Russian Federation

L. I. Chebotaeva

Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation

Email: noemail@neicon.ru
Russian Federation

L. N. Moskvitina

Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation

Email: noemail@neicon.ru
Russian Federation

References

  1. Bellini C., Ergaz Z., Radicioni M., Forner-Cordero I., Witte M., Perotti G., Figar T., Tubaldi L., Camerini P., Bar-Oz B., Yatsiv I., Arad I., Traverso F., Bellini T., Boccardo F., Campisi C., Dalmonte P., Vercellino N., Manikanti S., Bonioli E. Congenital fetal and neonatal visceral chylous effusions: neonatal chylothorax and chylous ascites revisited: A multicenter retrospective study // Lymphology. 2012. Vol. 45. No 3. P. 91-102.
  2. Downie L., Sasi A., Malhotra A. Congenital chylothorax: associations and neonatal outcomes // Paediatr. Child Health. 2014. Vol. 50. No 3. Р. 234-238.
  3. Nowlen T. T., Rosenthal G. L., Johnson G. L., Tom D. J., Vargo T. A. Pericardial effusion and tamponade in infants with central catheters // Pediatrics. 2002. Р. 110-137.
  4. Rajpal M. N., Buechler L. S., Rao R. Chylous cardiac tamponade due to catheter-associated thrombosis of intrathoracic veins in a newborn infant // J. Ped. Surg. Case Reports. 2013. N 1. Р. 180-182.
  5. van Aerde J., Campbell A. N., Smyth J. A. Spontaneous chylothorax in newborn // Am. J. Dis. Child. 1984. Vol. 138. Р. 961-964.
  6. Saad L., Jamila E., Salwa B., Abdelmounaim A. Congenital Chylothorax // Scient.World J. 2009. N 9. Р. 431-434.
  7. Cristiane F. X. P., Ieda B. J., Paulo E. U. В., Patricia F. E., Anna C. D. P., Maria Fernanda J. K. Use of octreotide in the treatment of chylothorax and chyloperitoneum // Arq. Bras. Cardiol. 2011. Vol. 97. No 2. Р. 33-36.
  8. Янг Т., Мангум Б. NeoFax - 2006 (Неофакс - 2006) / пер. с англ. М. Секачевой. - М.: Веретея, 2006. С. 236.
  9. Андреев Д. А., Вербин О. И. Хилоторакс у детей // Волгоградский научно-медицинский журнал. 2009. Т. 4. № 24. С. 55-58.
  10. Баландина Н. А., Беляева И. Д., Степаненко С. М., Жиркова Ю. В., Цветков И. О. Хилоторакс у новорожденных; http://rusanesth.com/stati/intensivnaya-terapiya/xilotoraks-u-novorozhdennyix.html
  11. Аврелькина Е. В., Игнатьева Е. Н., Федярова М. А., Плюхин С. В. Нетравматический хилоперикард и хилоторакс у недоношенных новорожденных // Архив патологии. 2014. № 5. С. 72-74.

Copyright (c) 2016 Kucherov Y.I., Yashina E.V., Zhirkova Y.V., Chebotaeva L.I., Moskvitina L.N.

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