Treatment of fetal congenital chylothorax: Report of eight cases at a mainland Chinese medical center

摘要

Congenital chylothorax, defined as the accumulation of chyle inthe pleural space, occurs after disruption of the thoracic duct.Although a rare neonatal disorder, it is the most common cause ofpleural effusion in fetuses and newborns. The incidence ofcongenital chylothorax is reported as 1 in 2000 NICU admissions[1]. Chylothorax produces detrimental respiratory, nutritional, andimmunological consequences. Mortality rates range from 20% to60% depending upon associated findings, gestational age, and theduration and severity of the chylothorax [2]. It is thus important todevelop methods that can decrease the morbidity and reducehospital stay. However, management practices vary among unitsand no consensus has been reached. Here we first report on theexperience with the management of congenital chylothorax at amainland Chinese medical center, resulting in good outcomes.