A CLINICAL CASE OF SIMULTANEOUS TREATMENT CHYLOTHORAX, CHYLOPERICARDIUM AND CHYLOPERITONEUM IN A NEWBORN
- Authors: Kucherov Y.I.1, Yashina E.V.1, Zhirkova Y.V.1, Chebotaeva L.I.1, Moskvitina L.N.1
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Affiliations:
- Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian Federation
- Issue: Vol 6, No 1 (2016)
- Pages: 95-99
- Section: Case reports
- URL: https://ogarev-online.ru/2219-4061/article/view/122535
- DOI: https://doi.org/10.17816/psaic238
- ID: 122535
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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.
Russian Federation
E. V. Yashina
Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian FederationRussian Federation
Y. V. Zhirkova
Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian FederationRussian Federation
L. I. Chebotaeva
Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian FederationRussian Federation
L. N. Moskvitina
Federal state budgetary institution "Scientific centre of children health"of the Ministry of Health of the Russian FederationRussian Federation
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