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

Y. I. Kucherov; E. V. Yashina; Y. V. Zhirkova; L. I. Chebotaeva; L. N. Moskvitina

doi:10.17816/psaic238

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2016, Vol. 6 ›› Issue (1) : 95 -99. DOI: 10.17816/psaic238

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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.

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Y. I. Kucherov, E. V. Yashina, Y. V. Zhirkova, L. I. Chebotaeva, L. N. Moskvitina. A CLINICAL CASE OF SIMULTANEOUS TREATMENT CHYLOTHORAX, CHYLOPERICARDIUM AND CHYLOPERITONEUM IN A NEWBORN. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 2016, 6(1): 95-99 DOI:10.17816/psaic238

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