Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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보존요법과 함께 octreotide 주입을 이용한 수술후 유미흉 치험 2례

Two cases of postoperative chylothorax treated with parenteral octreotide and conservative therapy

  • 최은진 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 이섭 (대구가톨릭대학교 의과대학 흉부외과학교실)
  • Choi, Eun Jin (Department of Pediatrics, Catholic University of Daegu School of Medicine) ;
  • Lee, Sub (Department of Thoracic and Cardiovascular Surgery, Catholic University of Daegu School of Medicine)
  • 투고 : 2006.12.15
  • 심사 : 2007.01.05
  • 발행 : 2007.03.15
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초록

선천성 심장병의 수술후 발생되는 유미흉은 드문 합병증이다. 이는 수분, 전해질 및 영양의 불균형을 초래할 뿐만 아니라 감염에 취약함을 보이기도 한다. 지금까지의 보존요법에 대해 비교적 치료성적이 좋으나 치료에 반응하지 않는 경우에는 수술적 중재가 불가피하다. 저자들은 보존요법과 octreotide 주입을 병행하여 수술적 중재를 피하고 효과적으로 치료한 수술후 발생된 유미흉 2례를 보고하는 바이다.

Chylothorax is a rare complication following cardiac surgery for congenital heart diseases. Although conservative management is successful in the majority of cases, surgical intervention is required in a refractory one. Recently, subcutaneous or intravenous infusion of octreotide has been used as a safe treatment that helps avoiding surgical intervention. Herein, we report two cases of postoperative chylothorax treated with parenteral octreotide and conservative therapy.

키워드

참고문헌

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