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《Journal of Applied Clinical Pediatrics》 2009-01
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Postoperative Chylothorax Following Surgery for Congenital Heart Disease

MI Ya-ping,JIA Bing,LI Xin,YE Ming,CHEN Zhang-gen(Cardiovascular Center,Children's Hospital Affiliated to Fudan University,Shanghai 200032,China)  
Objective To explore the clinical feature,diagnosis and treatment of postoperative chylothorax after congenital cardiac surgery.Methods From Jan.2000 to Jan.2008,36 consecutive infants following cardiac surgery were diagnosed postoperative chylothorax.Age at operation ranged 6 days to 4 years.Weight ranged 3.5 kg to 17.0 kg.Indications for cardiac surgery were:tetralogy of Fallot 18 cases,complete atrioventricular septal defect 5 cases,double outlet of right ventricle 4 cases,complex heart defect for Fontan operation 4 cases,coarctation of the aorta 2 cases,total anomalous pulmonary venous drainage 2 cases,patent ductus arteriosus 1 case.Chylothorax occurred in right side was 32 cases,in left side 3 cases,bilateral side 1 case.Diagnostic time for chylothorax was postoperative 1-10 d.Results Thirty-four cases were treated conservatively with success(34/36,94.44%).Only 2 cases needed surgical treatment.The chest drainage volume before con-servative treatment was 22-60 mL/(kg·d)[mean 40.82 mL/(kg·d)].The mean duration of chylous drainage was 15 d(ranged 7 d to 42 d).There was no death in hospital.Two children had sepsis.The cases were followed up 2 weeks-7 years.One newborn was abandoned because of the other reason after discharge.There was no recurrence of chylothorax.Twenty-two cases were still in low-fat diet.Conclusions The chylothorax following operation of congenital heart disease should be noticed and early diagnosed.The initial treatment is conservative,but surgical treatment ought to be considered if the conservative management is unsuccessful.J Appl Clin Pediatr,2009,24(1):70-72
【Fund】: 上海市重点学科建设项目资助(B116)
【CateGory Index】: R726.5
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【References】
Chinese Journal Full-text Database 1 Hits
1 Li Lianye,Qu Bin;Perioperative care of 6 children managed with correction of double aortic arch[J];Journal of Nursing Science;2010-14
【Co-references】
Chinese Journal Full-text Database 1 Hits
1 ;One Case:Multi-slice Spiral CT Diagnosis of Double Aortic Arch[J];Journal of Practical Radiology;2008-04
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