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.
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Authors | C Perrin |
Journal | Pediatrie
(Pediatrie)
Vol. 42
Issue 8
Pg. 593-5
( 1987)
ISSN: 0031-4021 [Print] France |
Vernacular Title | Récupération neurologique complète après une acidose néo-natale majeure. |
PMID | 3448588
(Publication Type: Case Reports, Journal Article)
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Topics |
- Acidosis
(congenital, etiology, therapy)
- Asphyxia Neonatorum
(complications)
- Female
- Humans
- Hypoxia
(etiology)
- Infant, Newborn
- Prognosis
- Resuscitation
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