title: [Congenital and post-operative chylothorax in the neonatal period].
abstract: In a retrospective survey of the patients admitted to the Neonatology Department during a 15 year period (october 1975-september 1990), we found 7 cases of chylothorax: 4 subsequent to cardiac surgery and 3 congenital. The incidence of chylothorax relative to the total number of admissions to NICU was 1.06% and 1.2% in respect to total admissions after cardiac surgery. The clinical outcome was good for all patients except one who died during resuscitation maneuvers following delivery. Only one patient required surgery to control chylothorax and the rest were successfully managed with medical treatment. We found that patients with postsurgical chylothorax drained a larger volume of pleural fluid, needed larger volumes of replacement fluid and required parental nutrition and mechanical ventilation for a longer period of time.
authors.affiliation: Servicio de Neonatología, Hospital Infantil La Paz, Madrid.
authors.forename: J
authors.initials: J
authors.lastname: González de Dios
authors.forename: B
authors.initials: B
authors.lastname: García Martín
authors.forename: M
authors.initials: M
authors.lastname: Burgueros Valero
authors.forename: L
authors.initials: L
authors.lastname: García Guereta
authors.forename: D
authors.initials: D
authors.lastname: Borches Jacassa
authors.forename: J
authors.initials: J
authors.lastname: Pérez Rodríguez
authors.forename: J
authors.initials: J
authors.lastname: Quero Jiménez
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002916:Chylothorax / Q000151:congenital* / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications; D012189:Retrospective Studies
vernacular_title: Quilotórax congénito y quilotórax postoperatorio en el período neonatal.