FENG Wei,CHEN Yong wei.The treatment of infant chylous ascites with 7 cases[J].Journal of Clinical Pediatric Surgery,2013,12(03):219-220.[doi:10.3969/j.issn.1671—6353.2013.03.017]
婴儿乳糜腹的诊疗分析
- Title:
- The treatment of infant chylous ascites with 7 cases
- Keywords:
- Chylous Ascites; Diagnosis; Clinical Protocols; Infant
- 摘要:
- 目的探讨婴儿乳糜腹的诊断及治疗方法。方法回顾性分析2004年至2011年我们收治的7例乳糜腹患儿的诊治过程,7例患儿均采用禁食水、联合静脉营养的保守治疗,间断辅以腹腔穿刺或腹腔引流进行治疗。结果7例患儿治疗后乳糜腹均好转,未见明显复发。结论婴儿乳糜腹水经控制饮食、静脉营养、腹腔穿刺等保守治疗多能痊愈,可不予手术治疗。
- Abstract:
- Objetive To investigate the diagnosis and treatment of infant chylous ascites.MethodsRetrospective analysis of 7cases of infant chylous ascites that we treated from 2004 to 2011, All the cases of patients were using water fasting, combined with intravenous nutrition conservative treatment,supplemented by intermittent abdominal paracentesis or peritoneal drainage treatment.ResultsSeven patients were improved after treatment,no significant recurrence.ConclusionsInfant chylous ascites could be cured through control diet, intravenous nutrition, abdominal paracentesis, and avoided operation treatment.
参考文献/References:
1周维.婴儿先天性胆总管囊肿手术后乳糜腹1例[J].临床小儿外科杂志,2011,10(6):480.
2全竹富,鲍扬,倪小冬,等.肠外营养支持在腹部手术后乳糜腹水治疗中的应用[J].肠外与肠内营养,2000,7(3):130—131.
3Krizek IJ. Acute chylous ascites[J].Arch Surg,1965,91: 253.
4陈周,李定军,熊建明.外伤性乳糜腹诊治体会及文献复习[J].中华医护杂志,2007,4(4):336—338.
5VaIentine VG,Raffin TA.The management of chylothox[J].Chest,1992,102(2):586.
6Bhatia C,Pratap U,Slavik Z. Octreotidetherapy: a new horizon in treatment of iatrogenic chyloperitoneum[J].Arch Dis Child,2001, 85:234—235.
7Andreou A,Papouli M,Papavasiliou V,et al.Postoperative chylous ascites in a neonate treated successfully with octreotid: bile sludge and cholestasis[J]. Am J Perinatol,2005,22:401—404.
8VaIentine VG,Raffin TA.The management of chylothox[J].Chest,1992,102(2):586.
9陈健,赵玉元,高明太,等.小儿乳糜腹的诊断及外科治疗[J].临床小儿外科杂志,2004,3(6):465—466.
相似文献/References:
[1]韩杰 魏明发 胡家高. 142例肠神经发育相关畸形的诊疗分析[J].临床小儿外科杂志,2012,11(05):332.
[J].Journal of Clinical Pediatric Surgery,2012,11(03):332.
[2]郭云飞 马耿 李黎 葛征. 364例阴囊急症的诊疗分析[J].临床小儿外科杂志,2012,11(05):370.
[J].Journal of Clinical Pediatric Surgery,2012,11(03):370.
[3]赵贤峰 张风华 马新生.急性阑尾炎合并肠梗阻66例诊疗分析[J].临床小儿外科杂志,2012,11(05):391.
[J].Journal of Clinical Pediatric Surgery,2012,11(03):391.
[4]曹永胜 范登信 张殷. 44例小儿重复肾的诊治分析[J].临床小儿外科杂志,2012,11(06):425.
[J].Journal of Clinical Pediatric Surgery,2012,11(03):425.
[5]谭谦 梅海波 刘昆. Larsen综合征的诊断及治疗-附1例12年随访及文献复习[J].临床小儿外科杂志,2012,11(06):450.
[J].Journal of Clinical Pediatric Surgery,2012,11(03):450.
[6]张博皓,吴永涛,苗武胜,等.先天性锁骨假关节的诊断与治疗 ——6例报道及文献复习[J].临床小儿外科杂志,2013,12(03):175.[doi:10.3969/j.issn.1671—6353.2013.03.003]
ZHANG Bo hao,WU Yong tao,MIAO Wu sheng,et al.Diagnosis and treatment of the Congenital pseudarthrosis of the clavicle-6 Cases report and review[J].Journal of Clinical Pediatric Surgery,2013,12(03):175.[doi:10.3969/j.issn.1671—6353.2013.03.003]
[7]罗先勇,王家祥,杨合英,等.小儿先天性肝囊肿的诊疗分析[J].临床小儿外科杂志,2013,12(03):205.[doi:10.3969/j.issn.1671—6353.2013.03.012]
LUO Xian yong,WANG Jia xiang,YANG He ying,et al.Diagnosis and treatment of congenital hepatic cysts in children[J].Journal of Clinical Pediatric Surgery,2013,12(03):205.[doi:10.3969/j.issn.1671—6353.2013.03.012]
[8]李小松,任松林,刘璐,等.小儿大网膜囊肿诊疗分析[J].临床小儿外科杂志,2013,12(03):232.[doi:10.3969/j.issn.1671—6353.2013.03.022]
LI Xiao song,REN Song lin,LIU Lu,et al.Diagnosis and treatment of omental cyst in children[J].Journal of Clinical Pediatric Surgery,2013,12(03):232.[doi:10.3969/j.issn.1671—6353.2013.03.022]
[9]李忠,周旭坤,邓立军,等.全麻下再次空气灌肠治疗难复性小儿肠套叠16例[J].临床小儿外科杂志,2013,12(03):250.[doi:10.3969/j.issn.1671—6353.2013.03.029]
[10]刘亮,李建宏,张镟,等.小儿胃扭转的诊治分析[J].临床小儿外科杂志,2013,12(03):252.[doi:10.3969/j.issn.1671—6353.2013.03.030]