先天性乳糜胸的产前诊断和处理  

Prenatal diagnosis and management of congenital chylothorax

作　　者：祝菁[1] 杨祖菁[1] 孙琦[1] 

机构地区：[1]上海交通大学医学院附属新华医院妇产科,上海200092

出　　处：《海南医学》2009年第5期21-23,共3页Hainan Medical Journal

摘　　要：目的探讨先天性乳糜胸的产前诊断和围产期处理方法。方法回顾性分析2005年5月至2008年2月5例先天性乳糜胸的产前超声检查、新生儿出生孕周、Apgar评分、新生儿胸水检查结果和预后。结果超声首次发现胎儿胸腔积液在孕22周至38周之间,3例合并羊水过多,2例双侧胸腔积液,其中1例合并睾丸鞘膜积液和腹水。胸水检查提示漏出液中淋巴细胞有80%-90%,4例存活,1例死亡。结论乳糜胸出现的孕周、持续时间和程度是决定新生儿预后的主要因素,超声检查是主要的产前诊断方式。Objective To discuss the prenatal diagnosis and management of congenital chylothorax. Methods Five cases of congenital chylothorax from May 2005 to Fab. 2008 were retrospectively analyzed The prenatal sonographic images, gestational weeks, Apgar score, the pleural fluid analysis and outcome of infants were reviewed. Results Fetal pleural effusions were diagnosed by uhrasonography at 22 -38 weeks gestation. Polyhydramnios was found in three cases. Bilateral pleural effusions was found in two cases, one of which had hydrocele of testis and ascites. The characteristics of chyle are transudate and a lymphocyte fraction greater than 80%. Four infants are alive and one was dead. Conclusion The outcome of infants are mainly based on the gestational weeks that the chlothorax occurs, duration and degree. Uhrasonography is the main method to diagnoze congenital chylothorax in prenatal period.

关 键 词：先天性乳糜胸 超声检查 产前诊断 

分 类 号：R714.5[医药卫生—妇产科学]