Children with congenital heart disease 8 cases of postoperative chylothorax Nursing.docVIP

 PAGE \* MERGEFORMAT 8 Children with congenital heart disease 8 cases of postoperative chylothorax Nursing [Keywords:] in children with congenital heart disease; chylothorax; Nursing Chylothorax in children with congenital heart disease is a rare complication after surgery, but because of the continuous progress of cardiac surgery techniques, congenital heart surgery an increasingly early age, thus increasing the chylothorax after surgery the opportunity to [1]. causes of chylothorax is an important branch of the thoracic duct or rupture caused by leakage of chylous fluid accumulates in the pleural cavity is formed. from injury to the clinically apparent chylothorax about 2 to 10 days of incubation [2] chylothorax chylous fluid may be lost due to large numbers of serious malnutrition, metabolic and immune disorders. chylothorax incidence of 0.25% to 0.56% [3]. our department from January 2005 -2009 admitted in September between children with congenital heart disease, 8 cases of postoperative chylothorax .8 cases were cured with conservative treatment. now its nursing reported as follows. 1 Clinical data 1.1 General information on children in this group, 8 cases were 4 males and 4 females; aged 2 months to 9 years, mean 4.7 years; including tetralogy of Fallot in 1 case, ventricular septal defect with pulmonary hypertension in 3 cases, arterial catheter is not closed and pulmonary hypertension in 4 cases. Postoperative chylothorax was 2 to 18 days, chylous fluid drainage volume of 30 ~ 320ml / d. All patients had varying degrees of difficulty breathing, loss of appetite, X ray showed pleural plot fluid. chyle test was positive. 1.2 The results found in this group 8 patients were given chylothorax after closed thoracic drainage replenish lost body fluids and parenteral nutrition support after a cure. 2 Care 2.1 Diet and nutritional support 2.1.1 Fasting is to reduce the chylous diet nursing generated key. Because of fasting chyle particles