CAJ | 학술논문

目的探讨新生儿乳糜胸的临床特点，诊疗方法，提高对本病的认识。方法整理分析本科自开科以来收治的第一例新生儿乳糜胸的临床表现、实验室检查、影像学检查、诊疗过程等资料，并进行相关文献学习。结果该患儿临床表现为呼吸急促、肤色发绀、心率增快，X线胸片及心脏B超提示左侧胸腔积液，胸腔穿刺积液乳糜实验阳性，经呼吸机辅助通气、禁食、胸腔穿刺术后病情好转，乳糜胸未再复发。结论新生儿乳糜胸若能及时发现，患儿可通过内科保守治疗治愈，预后良好。
목적탐토신생인유미흉적림상특점，진료방법，제고대본병적인식。방법정리분석본과자개과이래수치적제일례신생인유미흉적림상표현、실험실검사、영상학검사、진료과정등자료，병진행상관문헌학습。결과해환인림상표현위호흡급촉、부색발감、심솔증쾌，X선흉편급심장B초제시좌측흉강적액，흉강천자적액유미실험양성，경호흡궤보조통기、금식、흉강천자술후병정호전，유미흉미재복발。결론신생인유미흉약능급시발현，환인가통과내과보수치료치유，예후량호。
ObjectiveThis study was aimed to explore the clinical characteristics and diagnosis methods of newborns with chylothorax and raise awareness of the disease.Method The clinical manifestations, laboratory tests, imaging changes, and treatment process of the first case of neonatal chylothorax in our hospital were collected and analyzed.Result The clinical manifestations were tachypnea, cyanosis and high heart rate.The chest X‐ray and echocardiography showed a left pleural effusion.The chyle test was positive. By treatment of mechanical ventilation, fasting, and thoracocentesis, the baby got better and the chylothorax did not relapse.ConclusionThe majority of cases with neonatal chylothorax can be cured with medical conservative treatments and have good prognosis if they get early diagnosis and treatment timely and effectively.