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A Case of Neonatal Chylothorax.

Journal of the Korean Pediatric Society 1983;26(4):380-385.
Published online April 30, 1983.
A Case of Neonatal Chylothorax.
Hyung Taek Ohm, Hea Sook Kim, Myong Sook Lee, Sang II Lee, Sang wook Kim
Department of Pediatrics, Inje Medical College Paik Hospital, Seoul,Korea
신생아 유미흉 치험 1례
엄형택, 김혜숙, 이명숙, 이상일, 김상우
인제의과대학 서울백 병원 소아과학교실
Abstract
We experienced a case of chylothorax in a 23-days-old female who was admitted to the department of pediatrics because of respiratory difficulty and poor feeding. She was born by full-term, vacuum-extractedl The 2nd stage of labor was prolorged and umbilical cord was encircled her neck at birth. Chest P-A showed massive effusion of the right lung. Milky white fluid was obtained from thoracentesis. It was odorless, sterile on bacterial examination and cleared by alkali and ether. Fat globules were found on Sudan H stain and chylous effusion was diagnosed. She was managed by repeated thoracentesis (8 times), MCT diets and intravenous hyperalime- ntation. She was discharged on 36th hospital day with good response. Related literature was briefly reviewed.
Key Words: Chylothorax, Birth trauma.


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