Congenital chylous ascites in the neonatal period is a rare entity. Total parenteral nutrition (TPN), medium chain triglyceride (MCT)-based diet, octreotide and repeated paracentesis are regarded as appropriate medical treatment for congenital chylous ascites, and surgery is recommended when conservative therapy has failed. We present two cases in which ascites were confirmed via an abdominal sonogram and diagnostic paracentesis. In our clinical experience, rice soup combined with PN can be a safe and effective intervention.
先天性乳糜腹在新生儿时期较为罕见，目前其主要治疗手段包括全肠外营养、 中链脂肪酸为基础的饮食、奥曲肽以及反复腹腔穿刺引流术，当保守治疗失败 时则建议手术。本文提供了两例通过腹部超声和诊断性腹腔穿刺确诊的先天性 乳糜腹病例。根据我们的临床治疗经验，口服米汤结合肠外营养是先天性乳糜 腹的一种安全有效的治疗方法。.