CAJ | 학술논문

新生儿乳糜胸是由胸导管或胸腔淋巴管破裂使淋巴液漏入胸腔所致，可引起严重呼吸困难及营养、免疫障碍，病死率较高。该文报道2例新生儿乳糜胸病例，2例均以呼吸困难、胸腔积液为主要临床表现，胸腔积液淋巴细胞比率均不低于0.8。1例经胸腔穿刺引流术联合一般治疗治愈，1例经阿奇霉素胸膜固定术治愈。2例成功诊治的经验提示临床医师应提高对该疾病的诊治水平，早诊断、及时处理有助于提高该病患儿的生存率。
신생인유미흉시유흉도관혹흉강림파관파렬사림파액루입흉강소치，가인기엄중호흡곤난급영양、면역장애，병사솔교고。해문보도2례신생인유미흉병례，2례균이호흡곤난、흉강적액위주요림상표현，흉강적액림파세포비솔균불저우0.8。1례경흉강천자인류술연합일반치료치유，1례경아기매소흉막고정술치유。2례성공진치적경험제시림상의사응제고대해질병적진치수평，조진단、급시처리유조우제고해병환인적생존솔。
Neonatal chylothorax is an uncommon form of pleural effusion caused by thoracic duct or pleural lymphatic rupture,probably leading to severe dyspnea,malnutrition,and immune dysfunction and rela-tively high mortality.This paper reported 2 cases of neonatal chylothorax.Main clinical manifestations included postpartum dyspnea and pleural effusion with a lymphocyte ratio greater than 0.8.One patient was cured by thoracentesis combined with routine treatment and 1 was healed by azithromycin pleurodesis.Successful experi-ence in this study promoted the clinicians to enhance the levels of diagnosis and treatment.Early diagnosis and timely therapy is beneficial to improve the survival of neonatal chylothorax.