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肺泡毛细血管发育异常作为持续性肺动脉高压的一个病因

Alveolar Capillary Dysplasia as a Cause of Persistent Pulmonary Hypertension.

作者信息

Razak Abdul, Mohanty Pankaj Kumar, Nagesh N Karthik

机构信息

Department of Neonatology, Manipal Hospital. Bangalore, India. Correspondence to: Dr N Karthik Nagesh, Head, Department of Neonatology, Manipal Group of Hospitals, Bangalore, India.

出版信息

Indian Pediatr. 2015 Nov;52(11):984-6. doi: 10.1007/s13312-015-0759-y.

DOI:10.1007/s13312-015-0759-y
PMID:26615352
Abstract

BACKGROUND

Persistent pulmonary hypertension (PPHN) in a term or late preterm has varied etiology.

CASE CHARACTERISTICS

A late preterm neonate operated for esophageal atresia with tracheo-esophageal fistula was complicated by severe pulmonary hypertension and unable to be weaned off from respiratory support.

OUTCOME

The neonate expired by 15 weeks of life; diagnosis was made on postmortem lung biopsy.

MESSAGE

Alveolarcapillary dysplasia should be considered in a neonate with idiopathic refractory PPHN, if associated with anomalies.

摘要

背景

足月儿或晚期早产儿持续性肺动脉高压(PPHN)病因多样。

病例特征

一名晚期早产儿因食管闭锁合并气管食管瘘接受手术,并发严重肺动脉高压,无法撤机。

结局

该新生儿在15周龄时死亡;死后肺活检确诊。

启示

对于患有特发性难治性PPHN且伴有畸形的新生儿,应考虑肺泡毛细血管发育不良。

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