先天性心脏病术后乳糜胸婴幼儿行肠内营养管理的研究进展

doi:10.3761/j.issn.2096-7446.2026.05.008

Abstract

Abstract:

Postoperative chylothorax following congenital heart disease surgery is a challenge in the enteral nutrition management of infants. This article reviews the nursing assessment，intervention strategies，outcome evaluation，and home-based continuity care for this population，aiming to provide a reference for standardizing enteral nutrition management and effectively improving clinical prognosis.

Key words: Congenital Heart Disease, Infant, Chylothorax, Enteral Nutrition, Review Literature as Topic

YAN Qingtian, LI Minmin, LI Yuxin. Research progress on enteral nutrition management for infants with postoperative chylothorax following congenital heart disease surgery[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 564-568.

References 33

[1]	张茜, 刘亚飞, 李梦然, 等. 先天性心脏病患儿围生期护理管理专家共识[J]. 中华护理杂志, 2025, 60(5):552-557.
	Zhang Q, Liu YF, Li MR, et al. Expert consensus on perinatal care management of infants with congenital heart disease[J]. Chin J Nurs, 2025, 60(5):552-557.
[2]	Protopapas E, Padalino M, Tobota Z, et al. The European Congenital Heart Surgeons Association congenital cardiac database:a 25-year summary of congenital heart surgery outcomes[J]. Eur J Cardiothorac Surg, 2025, 67(4):ezaf119. doi: 10.1093/ejcts/ezaf119
[3]	Buckley JR, Graham EM, Gaies M, et al. Clinical epidemiology and centre variation in chylothorax rates after cardiac surgery in children:a report from the Pediatric Cardiac Critical Care Consortium[J]. Cardiol Young, 2017, 27(9):1678-1685. doi: 10.1017/S104795111700097X
[4]	Biewer ES, Zürn C, Arnold R, et al. Chylothorax after surgery on congenital heart disease in newborns and infants-risk factors and efficacy of MCT-diet[J]. J Cardiothorac Surg, 2010, 5:127. doi: 10.1186/1749-8090-5-127 pmid: 21144029
[5]	郑贵浪, 邹伟红, 吴家兴, 等. 先天性心脏病患儿术后乳糜胸的临床特点分析[J]. 中华急诊医学杂志, 2021, 30(1):100-103.
	Zheng GL, Zou WH, Wu JX, et al. Clinical characteristics analysis of postoperative chylothorax in children with congenital heart disease[J]. Chin J Emerg Med, 2021, 30(1):100-103.
[6]	Costa KM, Saxena AK. Surgical chylothorax in neonates:management and outcomes[J]. World J Pediatr, 2018, 14(2):110-115. doi: 10.1007/s12519-018-0134-x
[7]	张超英, 孙云霞, 刘玉梅, 等. 新生儿先天性心脏病术后乳糜胸49例临床诊治分析[J]. 中华胸心血管外科杂志, 2022, 38(2):71-74.
	Zhang CY, Sun YX, Liu YM, et al. Clinical analysis of chylothorax in 49 neonates after surgery for congenital disease[J]. Chin J Thorac Cardiovasc Surg, 2022, 38(2):71-74.
[8]	Church JT, Antunez AG, Dean A, et al. Evidence-based management of chylothorax in infants[J]. J Pediatr Surg, 2017, 52(6):907-912. doi: S0022-3468(17)30159-8 pmid: 28342580
[9]	Zheng J, Chen YY, Zhang CY, et al. Incidence and nutritional management of chylothorax after surgery for congenital heart diseases in children[J]. Heart Surg Forum, 2020, 23(6):e902-e906. doi: 10.1532/hsf.3219 pmid: 33399533
[10]	Samanidis G, Kourelis G, Bounta S, et al. Postoperative chylothorax in neonates and infants after congenital heart disease surgery-current aspects in diagnosis and treatment[J]. Nu-trients, 2022, 14(9):1803.
[11]	Justice L, Buckley JR, Floh A, et al. Nutrition considerations in the pediatric cardiac intensive care unit patient[J]. World J Pediatr Congenit Heart Surg, 2018, 9(3):333-343. doi: 10.1177/2150135118765881
[12]	Pérez-Pérez A, Vigil-Vázquez S, Gutiérrez-Vélez A, et al. Chylothorax in newborns after cardiac surgery:a rare complication?[J]. Eur J Pediatr, 2023, 182(4):1569-1578. doi: 10.1007/s00431-023-04808-5
[13]	牛瑞平, 殷玉敏, 苑文婷, 等. 一例罕见先天性乳糜腹合并乳糜胸新生儿的护理[J]. 解放军护理杂志, 2021, 38(10):80-82.
	Niu RP, Yin YM, Yuan WT, et al. A case report on the nursing of a newborn with rare congenital chylous ascites combined with chylothorax[J]. Nurs J Chin PLA, 2021, 38(10):80-82.
[14]	Winder MM, Schwartz S, Buckley JR, et al. Optimal fat-modified diet duration for the treatment of postoperative chylothorax in children[J]. Ann Thorac Surg, 2024, 118(1):181-187. doi: 10.1016/j.athoracsur.2023.05.021
[15]	Abrams SA, Duggan CP. Infant and child formula shortages:now is the time to prevent recurrences[J]. Am J Clin Nutr, 2022, 116(2):289-292. doi: 10.1093/ajcn/nqac149
[16]	李雨欣, 张金, 苑文婷, 等. 脱脂母乳在先心病术后乳糜胸婴幼儿中的应用研究进展[J]. 肠外与肠内营养, 2024, 31(1):60-64.
	Li YX, Zang J, Yuan WT, et al. Application of skimmed breast milk in infants with chylothorax after congenital heart disease surgery:a review[J]. Parenter Enter Nutr, 2024, 31(1):60-64.
[17]	唐晓敏, 金陈娣, 诸纪华. 先天性心脏病术后患儿家长心理需求现状及影响因素分析[J]. 中华急危重症护理杂志, 2021, 2(6):526-530.
	Tang XM, Jin CD, Zhu JH. Analysis on the status and influencing factors of parents’ psychological needs of children after surgery for congenital heart disease[J]. Chin J Emerg Crit Care Nurs, 2021, 2(6):526-530.
[18]	Christofe NM, Pessotti CFX, Paiva L, et al. Incidence and treatment of chylothorax in children undergoing corrective surgery for congenital heart diseases[J]. Braz J Cardiovasc Surg, 2017, 32(5):390-393. doi: S0102-76382017000500390 pmid: 29211219
[19]	李奔, 张榕, 刘银芝, 等. 不同喂养方案治疗新生儿乳糜胸及乳糜腹的临床疗效研究[J]. 中华新生儿科杂志(中英文), 2025, 40(2):65-70.
	Li B, Zhang R, Liu YZ, et al. Clinical efficacy of different feeding regimens in the treatment of neonatal chylothorax and chylous ascites[J]. Chin J Neonatol, 2025, 40(2):65-70.
[20]	Winder MM, Eckhauser AW, Delgado-Corcoran C, et al. A protocol to decrease postoperative chylous effusion duration in children[J]. Cardiol Young, 2018, 28(6):816-825. doi: 10.1017/S1047951118000392 pmid: 29690945
[21]	Fogg KL, Trauth A, Horsley M, et al. Nutritional management of postoperative chylothorax in children with CHD[J]. Cardiol Young, 2023, 33(9):1663-1671. doi: 10.1017/S1047951122003109
[22]	Neumann L, Springer T, Nieschke K, et al. ChyloBEST:chylothorax in infants and nutrition with low-fat breast milk[J]. Pediatr Cardiol, 2020, 41(1):108-113. doi: 10.1007/s00246-019-02230-z pmid: 31729543
[23]	Kocel SL, Russell J, O’Connor DL. Fat-modified breast milk resolves chylous pleural effusion in infants with postsurgical chylothorax but is associated with slow growth[J]. JPEN J Parenter Enteral Nutr, 2016, 40(4):543-551. doi: 10.1177/0148607114566464 pmid: 25560680
[24]	Winder M, Bailly D. Pediatric chylothorax:where we’ve been and where we’re going[J]. J Thorac Dis, 2023, 15(4):1526-1529. doi: 10.21037/jtd
[25]	Rocha G, Arnet V, Soares P, et al. Chylothorax in the neonate-a stepwise approach algorithm[J]. Pediatr Pulmonol, 2021, 56(10):3093-3105. doi: 10.1002/ppul.v56.10
[26]	Thakur A, Fursule A. Lung ultrasound in neonates-An underused tool[J]. J Med Imag Rad Onc, 2023, 67(1):54-64. doi: 10.1111/ara.v67.1
[27]	Shin YR, Lee H, Park YH, et al. Chylothorax after surgery for congenital cardiac disease:a prevention and management protocol[J]. Korean J Thorac Cardiovasc Surg, 2020, 53(2):41-48. doi: 10.5090/kjtcs.2020.53.2.41 pmid: 32309201
[28]	Singal A, Sahu MK, Trilok Kumar G, et al. Effect of energy- and/or protein-dense enteral feeding on postoperative outcomes of infant surgical patients with congenital cardiac disease:a systematic review and meta-analysis[J]. Nutr Clin Pract, 2022, 37(3):555-566. doi: 10.1002/ncp.v37.3
[29]	韩林, 李敏敏, 李雨欣, 等. 先天性心脏病术后患儿营养不良风险预测模型的构建及验证研究[J]. 中华护理杂志, 2024, 59(19):2396-2403. doi: 10.3761/j.issn.0254-1769.2024.19.013
	Han L, Li MM, Li YX, et al. Construction and verification of a risk prediction model for postoperative malnutrition in infants with congenital heart disease[J]. Chin J Nurs, 2024, 59(19):2396-2403. doi: 10.3761/j.issn.0254-1769.2024.19.013
[30]	Chinawa AT, Chinawa JM, Duru CO, et al. Assessment of nutritional status of children with congenital heart disease:a comparative study[J]. Front Nutr, 2021, 8:644030. doi: 10.3389/fnut.2021.644030
[31]	Erickson LA, Emerson A, Russell CL. Parental mobile health adherence to symptom home monitoring for infants with congenital heart disease during the single ventricle interstage period:a concept analysis[J]. J Spec Pediatr Nurs, 2020, 25(4):e12303. doi: 10.1111/jspn.v25.4
[32]	黄盼盼, 李丽玲, 胡晓静. 先天性心脏病婴儿早期运动康复的研究进展[J]. 中华护理杂志, 2025, 60(9):1050-1055. doi: 10.3761/j.issn.0254-1769.2025.09.004
	Huang PP, Li LL, Hu XJ. Research progress of early exercise rehabilitation in infants with congenital heart disease[J]. Chin J Nurs, 2025, 60(9):1050-1055. doi: 10.3761/j.issn.0254-1769.2025.09.004
[33]	Satou GM, Rheuban K, Alverson D, et al. Telemedicine in pediatric cardiology:a scientific statement from the American Heart Association[J]. Circulation, 2017, 135(11):e648-e678.

Research progress on enteral nutrition management for infants with postoperative chylothorax following congenital heart disease surgery

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 33

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	YU Xiangling, ZHAO Xiaoyan, CHEN Fan, LIN Yumin, DENG Sufen, HUANG Yufeng. Nursing care of a premature infant with difficulty in catheterization and PICC catheter placement via thoracoepigastric vein [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 561-563.
[2]	ZANG Ruijin, LI Lingling, ZHENG Miao, ZHONG Juanping, NAN Ruiling, WANG Xinglei, DOU Xinman. Advances in the application of pupillometry for pain assessment in critically ill patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 631-635.
[3]	XIAO Lele, XIAO Li, WANG Jing, XIE Zhifen, YANG Liu, LIU Xiaolan. Meta-analysis of the impact of gastric juice reinfusion on enteral feeding intolerance in critically ill patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 488-495.
[4]	LI Lingling, REN Liyuan, MA Peifen, YAN Hui, WANG Xinglei, SU Xuan, DOU Xinman. Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 503-507.
[5]	FANG Jiaqi, YU Haiping, LI Ke, LIU Xiaoli, ZHOU Enying. Advances in post-ICU clinic-based rehabilitation interventions for patients with post-intensive care syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 508-512.
[6]	BIAN Liping, WANG Caoyuan, REN Yimei. The development and application of information-based discharge preparation platform for caregivers of very low birth weight infants in NICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 286-293.
[7]	XU Xiumei, WANG Chen, WANG Yaping, ZHANG Yaowen, ZHU Yaqin, XIAO Peihua, LI Li. Research progress on sit-to-stand transition functional training in critically ill patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 379-384.
[8]	ZHU Haihong, LING Yun, YIN Yajun, ZHANG Danfei, WANG Juan, ZHU Jihua. Nursing care for preterm infants with severe bronchopulmonary dysplasia receiving nasal high-flow home oxygen therapy [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 197-199.
[9]	WANG Huanhuan, XU Hao, LI Changyan, XIONG Xiaoju, DING Lingli. Perioperative care for a premature infant with large sacrococcygeal teratoma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 200-203.
[10]	DING Yi, TANG Xi, LU Shengli, HUANG Yuan, LÜ Tianchan. Nursing care for bronchopulmonary dysplasia combined with pulmonary bullae in an extremely preterm infant with survival limit [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 204-206.
[11]	LI Zunzhu, CHANG Xiaowei, LUO Hongbo, ZHAO Mingxi, JING Jie, WU Xinjuan. Research progress on postoperative pulmonary complications assessment and nursing of ICU patients undergoing cardiac surgery with cardiopulmonary bypass [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 238-242.
[12]	WANG Jiayi, GUO Zhiting, ZHANG Yuping, WANG Haizhen, HUANG Xiaoxia, JIN Jingfen. Research progress on evaluation indicator set of ICU alarm management [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 243-247.
[13]	WEI Linlin, ZHOU Hongqin, ZHANG Chaolang, CHEN Xiuping. Design and application of an anti-splashing anal fecal specimen sampler for infants and young children [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 253-256.
[14]	ZHANG Jiping, ZHAO Xiaoshuang, SUN Hairui, HU Lili, ZHANG Dan, JU Liting, XUE Yaokang, ZHANG Baorong. Construction and application of an enteral nutrition management program for critically ill children with prone position ventilation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 23-29.
[15]	ZHANG Dan, YE Juan, WU Liya, ZHANG Mengyu, LIANG Jinjing, LING Mi. Summary of the best evidence for prevention and management of ventilator-associated pneumonia in preterm infants [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 54-60.