Case Reports in Pediatrics / 2019 / Article / Tab 1

Case Series

Neonatal Chylothoraces: A 10-Year Experience in a Tertiary Neonatal Referral Centre

Table 1

Perinatal and neonatal characteristics, management, and outcomes.

NeonateBirth weight (g)Gestation (weeks)AntenatalMode of deliveryResuscitationDiagnosesMCT feedsOctreotide and doseVentilation (days)Outcome

1308039NormalVDThick meconium intubated at 10 minutesAcquired NC, MAS, multiple pneumothoracesYesNo38Alive
2225233Hydrops, bilateral effusions, antenatal shuntsVDPleural shunts clamped & intubated at birthCongenital NCYesYes (2–8 mcg/kg/hr)31Alive
3407838Left pleural effusion & mediastinal shiftCSIntubated at birthCongenital NCYesNo28Alive
4279037Left CDHVDIntubated at birthAcquired NC, CDHYesYes (1–4 mcg/kg/hr)125Died
5269038PolyhydramniosVDNo resuscitationAcquired NC, OA, TOFYesYes (1–2 mcg/kg/hr)13Alive
6335037PolyhydramniosVDNo resuscitationAcquired NC, OA, TOFYesNo19Alive

CDH: congenital diaphragmatic hernia; CS: caesarian section; MAS: meconium aspiration syndrome; MCT: medium-chain triglycerides; NC: neonatal chylothorax; OA: oesophageal atresia; TOF tracheoesophageal fistula; VD: vaginal delivery; neonate had a reduction in pleural output following introduction of MCT feeds; octreotide was given prior to surgical intervention.

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