The use of fat-free human milk in infants with chylous pleural effusion
The use of fat-free human milk in infants with chylous pleural effusion
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DOI：
10.1038/sj.jp.7211768
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发表时间：
2007-07-01
影响因子：
2.9
通讯作者：
Lechtenberg, E.
中科院分区：
文献类型：
--
作者：
Chan, G. M.;Lechtenberg, E.
目的：本研究的目的是描述母乳的处理，以消除其脂肪含量和它的使用在7个婴儿乳糜胸。研究设计：母亲的牛奶在3000转/分离心15分钟在2摄氏度。离心后，牛奶分离成凝固脂肪的顶层和较低的液体部分。然后将无脂液体部分倒入收集杯中并冷冻以供患者日后使用。在处理前后储存母乳样品，并分析脂肪、钠、钾、钙和锌。结果：去除的平均脂肪为5 +/- 1 g/dl（平均值+/- s.d.），这与母乳中的前脂肪含量相同。7例乳糜性胸腔积液婴儿使用脱脂母乳。所有婴儿在一个月大后开始食用脱脂牛奶，平均持续时间为16天（7至34天范围）。使用脱脂母乳时，乳糜性胸腔积液没有再蓄积。母亲的牛奶电解质是相似的前和后processing.Conclusion：脱脂母乳可能是一个重要的额外的饮食治疗乳糜胸的婴儿，并可能增加其他喂养不能提供的免疫特性的母乳。
Objective: The purpose of this study is to describe the processing of human milk to remove its fat content and its use in seven infants with chylothorax.Study design: The mother's milk was centrifuged at 3000 r.p.m. for 15 min at 2 degrees C. After centrifugation, the milk separated into a solidified-fat top layer and a lower liquid portion. The fat-free liquid portion was then poured into collection cups and frozen for the patient's use at a later date. A sample of the mother's milk before and after processing was stored and analyzed for fat, sodium, potassium, calcium and zinc.Results: The mean fat removed was 5 +/- 1 g/dl ( mean +/- s.d.), which was the same as the pre-fat content of the mother's milk. Seven infants with chylous pleural effusions used the fat-free human milk. All infants started on the fat-free milk after a month of age for an average of 16 days duration ( 7 to 34 days range). There was no reaccumulation of the chylous pleural effusions with the use of the fat-free mother's milk. Mother's milk electrolytes were similar before and after processing.Conclusion: Fat-free human milk may be an important additional dietary therapy for infants with chylothorax and may add the immunologic properties of human milk that other feedings cannot provide.