Department of Pediatrics, University of Calgary & Peter Lougheed Hospital, AB, Canada.
Indian J Pediatr. 2009 Oct;76(10):1051-2. doi: 10.1007/s12098-009-0199-6. Epub 2009 Nov 12.
Apnea in a premature infant is not always due to immaturity and caffeine is not always the answer. We report a case of apnea in a preterm infant who presented at two weeks of life with increase in frequency of apnea that did not respond to caffeine. Family history was significant for diarrhea in a sibling. Stool PCR was positive for Norovirus Genogroup II. Enteric isolation was instituted and the apnea resolved spontaneously with conservative management. Re-emergence of apnea or persistent apnea necessitates further investigation to elucidate the etiology.
早产儿的呼吸暂停并不总是由于不成熟引起的,咖啡因也不总是答案。我们报告了一例早产儿呼吸暂停的病例,该患儿在两周大时出现呼吸暂停频率增加,对咖啡因治疗无反应。家族史中患儿的一个兄弟姐妹有腹泻病史。粪便 PCR 检测诺如病毒属 II 型阳性。开始肠道隔离,呼吸暂停经保守治疗后自发缓解。呼吸暂停再次出现或持续存在时需要进一步检查以明确病因。