Document Detail


Transient severe respiratory distress mimicking pulmonary hypoplasia in preterm infants.
MedLine Citation:
PMID:  8229532     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three preterm infants are described who had respiratory failure immediately after birth. For each, historical factors (extrauterine abdominal pregnancy; ruptured membranes with oligohydramnios for 14 weeks; congenital diaphragmatic hernia) and the initial postnatal course were suggestive of pulmonary hypoplasia. However, with vigorous resuscitation each infant showed rapid improvement in pulmonary status for several hours. Two infants survived with no apparent pulmonary sequelae; the third had almost complete resolution of pulmonary disease but died from gastrointestinal complications. Thus some infants with historical and clinical indicators of severe pulmonary hypoplasia do not have hypoplastic lungs and respond favorably to resuscitation. The causes of the respiratory distress and of its rapid resolution are not known. On the basis of this experience, even infants with historical factors suggesting pulmonary hypoplasia and with postnatal respiratory distress should receive vigorous resuscitation.
Authors:
J A Kitterman
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  123     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1993-12-22     Completed Date:  1993-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  969-74     Citation Subset:  AIM; IM    
Affiliation:
Cardiovascular Research Institute, University of California, San Francisco 94143.
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Fetal Organ Maturity
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / diagnosis*
Lung / embryology,  pathology*,  physiopathology
Male
Respiratory Distress Syndrome, Newborn / diagnosis*
Respiratory Function Tests

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