Congenital chylothorax - pregnancy course and long term outcome : Case series from Helsinki University Central Hospital 1999-2013

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http://urn.fi/URN:NBN:fi:hulib-201507282608
Title: Congenital chylothorax - pregnancy course and long term outcome : Case series from Helsinki University Central Hospital 1999-2013
Author: Kyllönen, Kaisa
Contributor: University of Helsinki, Faculty of Medicine, Institute of Clinical Medicine
Publisher: Helsingfors universitet
Date: 2014
URI: http://urn.fi/URN:NBN:fi:hulib-201507282608
http://hdl.handle.net/10138/155980
Thesis level:
Abstract: Congenital chylothorax is a rare disorder which may end up in stillbirth or neonatal death. Due to its rarity, no clear standards for optimal treatment have been established. Reports of long-term outcomes are scarce. This is a retrospective study of all cases of congenital chylothorax treated in Helsinki University Central Hospital 1999-9/2013. Information on the pregnancies and antenatal management, neonatal management an long term outcomes has been retreived from the patient records of Helsinki University Central Hospital. There were altogether 17 cases, no in-utero deaths and seven deaths in the neonatal period. 71 per cent of the patients underwent intrauterine thoracocentesis and there was one attempt of placing a thoraco-amnionic shunt. Factors such as fetal hydrops, early onset of congenital chylothorax, chromosomal and structural anomalies and prematurity seemed connected to higher mortality, as they have in earlier studies. In follow-up, three of seven patients have been diagnosed with asthma.
Discipline: Medicine
Lääketiede
Medicin


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