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乳糜胸是由于乳糜液从胸导管漏出于胸膜腔所致的胸腔积液。新生儿乳糜胸较罕见,我们遇到1例误诊为脓胸,现报告如下。男婴,15天。因喘憋5天入院。患儿系第一胎,足月顺产,产后即哭,哭声宏亮,活动好。产后10天,发现咳嗽,有时呛咳、喘憋,不发热,症状逐渐加重,入院前1天开始呻吟,鼻搧.母孕期健康。呼吸80次,体温36.5℃,体重3.2公斤。足月儿貌,呼吸急促,口周微绀,呻吟,轻度鼻搧,三凹征阳性。气管左移,右胸饱满,叩诊浊音,呼吸音低。未闻及罗音,心率168次,未闻及杂音。腹部平软,肝肋下3 cm,脾未触及。
Chylothorax is due to chylothorax leakage from the thoracic duct pleural cavity caused by pleural effusion. Neonatal chylothorax rare, we encountered 1 case misdiagnosed as empyema, are as follows. Baby boy, 15 days. Because of wheezing 5 days admitted. Children with the first child, full-term birth, crying postpartum, crying loud, good activity. 10 days postpartum, found cough, sometimes cough, wheezing, no fever, the symptoms gradually aggravated, one day before admission moan, nose fan. Breath 80 times, body temperature 36.5 ℃, weight 3.2 kg. Full-term appearance, shortness of breath, perioral cyanosis, moaning, mild nasal fan, three concave sign positive. Tracheal left, right chest full, percussion dullness, low breath sounds. Did not hear and rales, heart rate 168 times, no smell and noise. Abdomen soft, liver ribs 3 cm, spleen not touched.