DSpace About DSpace Software 日本語
 

GINMU >
01 奈良県立医科大学 >
011 医学部 >
0112 紀要 >
01121 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

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

Files in This Item:

File Description SizeFormat
261-265p.AN_INFANT_WITH_HEART_FAILURE_AND_RESPIRATORY.pdf948.87 kBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback