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[Complete neurological recovery after major neonatal acidosis].

Abstract
After a severe fetal asphyxia, an hypotrophic (PN: 2,500 g) full-term newborn had a very poor Apgar score (1 after 1 min) and intensive resuscitation was necessary. The first arterial blood gas analysis at 1 h of life showed a profound metabolic acidosis (pH: 6.7; base defect: -30) and refractory hypoxemia (PaO2: 11 mmHg; FiO2 = 1). In a first time, the outcome was favourable after the correction of acidosis and treatment with tolazoline of a persistent fetal circulation. The depressed cerebral function symptoms disappeared within a few days; a grade I subependymal haemorrhage disappeared also rapidly. At 22 months of age, the infant had no significant developmental abnormality.
AuthorsC Perrin
JournalPediatrie (Pediatrie) Vol. 42 Issue 8 Pg. 593-5 ( 1987) ISSN: 0031-4021 [Print] France
Vernacular TitleRécupération neurologique complète après une acidose néo-natale majeure.
PMID3448588 (Publication Type: Case Reports, Journal Article)
Topics
  • Acidosis (congenital, etiology, therapy)
  • Asphyxia Neonatorum (complications)
  • Female
  • Humans
  • Hypoxia (etiology)
  • Infant, Newborn
  • Prognosis
  • Resuscitation

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