Egues J, Flores U, Mendívil M C, Heras J A, Yoldi M E, Martínez-Peñuela J M
An Esp Pediatr. 1983 Oct;19(4):263-7.
Six newborn infants with myocardial infarction are presented. All of them had a history of perinatal hypoxemia and their natal weights were below 2,500 g. All infants developed cardiogenic "shock" during and required assisted ventilation. Autopsy confirmed the diagnosis in five of the six infants. Other autopsy findings were intracranial bleeding (three cases) and pulmonary atelectasis (two cases). Authors review pathophysiology of this clinical picture and point out its possible influence in the origin of neonatal shock.
本文报告了6例新生儿心肌梗死病例。所有患儿均有围生期低氧血症病史，出生体重均低于2500g。所有患儿在病程中均发生心源性“休克”，并需要辅助通气。尸检证实6例中有5例诊断成立。其他尸检发现包括颅内出血（3例）和肺不张（2例）。作者回顾了这一临床情况的病理生理学，并指出其在新生儿休克病因中的可能影响。
