Gaulin P, Rubin S Z
Can J Surg. 1983 May;26(3):250-1.
Three critically ill infants who had persistent fetal circulation postoperatively, refractile to tolazoline and 100% oxygen with mechanical ventilation including continuous positive airway pressure, responded favourably to prolonged manual hyperventilation. Two infants had undergone repair of a diaphragmatic hernia and the third had correction of a tracheoesophageal fistula. Normal respiratory function was documented in two survivors. The third died 14 days postoperatively. The use of this simple technique indicated that perseverance can be rewarded in the treatment of persistent fetal circulation unresponsive to the usual medical management.
三名患有术后持续性胎儿循环的重症婴儿，对妥拉唑啉和100%氧气以及包括持续气道正压通气在内的机械通气均无反应，但对长时间的手动过度通气反应良好。两名婴儿接受了膈疝修补术，第三名婴儿接受了气管食管瘘矫正术。两名幸存者的呼吸功能恢复正常。第三名婴儿术后14天死亡。这种简单技术的应用表明，在治疗对常规药物治疗无反应的持续性胎儿循环时，坚持不懈会有回报。
