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口服西地那非作为疑似急性肺动脉高压危象的抢救治疗。

Oral sildenafil as a rescue therapy in presumed acute pulmonary hypertensive crisis.

机构信息

BMBS, Paediatric Intensive Care Unit, Nottingham Children's Hospital, Queen's Medical Centre, Derby Rd, Nottingham, NG7 2UH United Kingdom.

出版信息

Pediatrics. 2013 Feb;131(2):e626-8. doi: 10.1542/peds.2012-0587. Epub 2013 Jan 6.

DOI:10.1542/peds.2012-0587
PMID:23296435
Abstract

A 23-week-old baby, born at 26(+2) weeks, presented to the hospital with critical respiratory failure, which was impossible to stabilize. She had unstable oxygen saturations between 35% and 95%. A presumptive diagnosis of bronchopulmonary dysplasia with associated pulmonary hypertensive crisis was made. In the absence of inhaled nitric oxide, 2 oral doses of 1 mg/kg sildenafil were given, with a dramatic improvement 30 to 45 minutes later. Her oxygenation index fell from 43 to 14. She made a full recovery and was discharged from the hospital 2 weeks later.

摘要

一名 23 周大的婴儿,胎龄 26(+2)周,因严重呼吸衰竭而被送往医院,情况非常危急,无法稳定下来。她的血氧饱和度在 35%至 95%之间不稳定。初步诊断为支气管肺发育不良伴相关肺动脉高压危象。在没有吸入一氧化氮的情况下,给予了 2 次 1mg/kg 的口服西地那非,30 至 45 分钟后病情显著改善。她的氧合指数从 43 降至 14。她完全康复,两周后出院。

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