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GINMU >
03 紀要 >
031 Journal of Nara Medical Association >
Vol.49 No.4 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/458
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| Title: | AN INFANT WITH HEART FAILURE AND RESPIRATORY DISTRESS SYNDROME DELIVERED BY EMERGENT CESAREAN SECTION WITH PLACENTA PREVIA TOTALIS |
| Authors: | Nishikubo, Toshiya
Sakaue, Tetsuya
Uchida, Yumiko
Nogami, Keiji
Kuwahara, Isao
Minowa, Hideki
Kamitsuji, Hidekazu |
| Keywords: | placenta previa totalis
infant
neonatal asphyxia
heart failure
respiratory distress syndrome |
| Issue Date: | 31-Aug-1998 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.49 No.4 p.261-265 |
| Abstract: | We report an infant with heart failure and respiratory distress syndrome
(RDS) born by emergent cesarean section due to placenta previa totalis after massive
vaginal bleeding. The patient was at 31 gestational weeks, and birth weight was 1785g. He
was admitted to our neonatal intensive care unit due to respiratory failure and low birth
weight. However, he also demonstrated severe heart failure. Blood pressure was 44/25
mmHg on admission and the low blood pressure continued following dopamine administra-
tion. He was administered artificial pulmonary surfactant (S-TA) soon after admission,
but respiratory failure did not sufficiently improve. In addition to dobutamine, S-TA was
administered two more times, 6 and 16 hours after birth. Furthemore, in order to alleviate
respiratory failure, high frequency oscillation was started at 16 hours. Then his general
condition improved gradually and he was extubated 27 days after birth. In conclusion,
infants delivered by emergent cesarean section due to placenta previa totalis with massive
vaginal bleeding may demonstrate severe heart failure and require more intensive respira-
tory and circulatory support than standard RDS infants. |
| URI: | http://hdl.handle.net/10564/458 |
| ISSN: | 13450069 |
| Appears in Collections: | Vol.49 No.4
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| 261-265p.AN INFANT WITH HEART FAILURE AND RESPIRATORY.pdf | | 948Kb | Adobe PDF | View/Open |
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