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Octreotide treatment for neonatal chylothorax

World Journal of Pediatrics 2018年第6期14卷 623-623页

作者： Carlo Bellini laura costanza de angelis Tommaso Bellini Neonatal Intensive Care Unit Neonatal Emergency Transport ServiceDepartment of Intensive CareIRCCS GasliniLargo G.Gaslini 516147 GenoaItaly

We have read the interesting paper by Costa and Saxenaentitled ‘‘Surgical chylothorax in neonates: management andoutcomes”, recently published in the World Journal of Pediatrics[ 1 ]. There are few points of the article that we wouldlike to discuss. We recently published a systematic reviewfocusing on the use of octreotide for congenital and acquiredchylothorax in newborns [ 2 ]. Our review concluded thatoctreotide was safe and eff ective in the treatment of chylothoraxin newborns, especially for the congenital forms, andthat octreotide therapy should be considered as an adjunctivetreatment in term and preterm neonates aff ected by congenitaland acquired chylothorax.

关键词： chylothorax treatment Octreotide

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Causes and manifestations of chylothorax in children

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Pediatric Investigation 2018年第3期2卷 203-203页

作者： Carlo Bellini laura costanza de angelis Tommaso Bellini Luca Antonio Ramenghi department Mother and Child Neonatal Intensive Care UnitGaslini InstituteGenoaItaly

To the editor:We read with great interest the excellent article by Guo et al1 describing causes and manifestations of chylothorax in children in *** are few points of the article we would like to *** authors affirmed that finding seven cases affected by congenital lymphatic malformations was *** is not clear if seven cases were considered as a low or high incidence ***,congenital chylothorax of the newborn may be linked to congenital thoracic duct defects,isolated or associated with generalized lymphatic vessel dysplasia,which is the more likely cause;more rarely,congenital chylothorax is the result of trauma at birth,malignancies,thrombosis of the superior vena cava or subclavian vein causing high central venous pressure.

关键词： Causes manifestations chylothorax

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