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口服西地那非治疗新生儿布洛芬使用后发生的重度肺动脉高压

Oral Sildenafil for Severe Pulmonary Hypertension Developing after Ibuprofen Use in a Neonate.

作者信息

Rodriguez-Castano M Jose, Aleo Esther, Arruza Luis

机构信息

Department of Neonatology, Hospital Clinico San Carlos, Madrid, Spain. Correspondence to: Dr M Jose Rodriguez-Castano, Department of Neonatology Hospital Clinico San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain.

出版信息

Indian Pediatr. 2016 Apr;53(4):349-50. doi: 10.1007/s13312-016-0852-x.

DOI:10.1007/s13312-016-0852-x
PMID:27156554
Abstract

BACKGROUND

Severe pulmonary hypertension may following ibuprofen administration for ductal closure.

CASE CHARACTERISTICS

An extremely preterm infant who developed severe pulmonary hypertension unresponsive to inhaled nitric oxide after ibuprofen administration.

OUTCOME

Pulmonary hypertension reversed after the administration of oral sildenafil, but the infant died due to complications related to bronchopulmonary dysplasia.

MESSAGE

Sildenafil may have a role in treatment of severe pulmonary hypertension after ibuprofen treatment for ductal closure.

摘要

背景

布洛芬用于动脉导管闭合术后可能会引发严重肺动脉高压。

病例特征

一名极早产儿在使用布洛芬后出现严重肺动脉高压,对吸入一氧化氮治疗无反应。

结果

口服西地那非后肺动脉高压得到缓解,但该婴儿因支气管肺发育不良相关并发症死亡。

启示

在布洛芬用于动脉导管闭合术后引发的严重肺动脉高压治疗中,西地那非可能有一定作用。

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引用本文的文献

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Ibuprofen for the treatment of patent ductus arteriosus in preterm or low birth weight (or both) infants.布洛芬用于治疗早产或低体重(或两者兼具)婴儿的动脉导管未闭。
Cochrane Database Syst Rev. 2020 Feb 11;2(2):CD003481. doi: 10.1002/14651858.CD003481.pub8.
2
Ibuprofen for the treatment of patent ductus arteriosus in preterm or low birth weight (or both) infants.布洛芬用于治疗早产或低出生体重(或两者兼具)婴儿的动脉导管未闭。
Cochrane Database Syst Rev. 2018 Sep 28;9(9):CD003481. doi: 10.1002/14651858.CD003481.pub7.
3
Controversies in the identification and management of acute pulmonary hypertension in preterm neonates.
早产儿急性肺动脉高压的识别和处理中的争议。
Pediatr Res. 2017 Dec;82(6):901-914. doi: 10.1038/pr.2017.200. Epub 2017 Oct 4.