A Case of Neonatal Massive Pulmonary Heomorrhage Treated With Pulmonary Surfactant Replacement.
- Author:
Yoon Jung CHO
1
;
Hee Jung LEE
;
Sang Lak LEE
Author Information
1. Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Pulmonary hemorrhage;
Pulmonary surfactant;
Neonate
- MeSH:
Erythrocytes;
Female;
Gestational Age;
Hematocrit;
Hemorrhage;
Humans;
Hypertension, Pregnancy-Induced;
Infant, Newborn;
Male;
Mothers;
Oxygen;
Parturition;
Plasma;
Pregnancy;
Pulmonary Surfactants*;
Radiography, Thoracic;
Respiration, Artificial;
Respiratory Insufficiency;
Suction;
Tachypnea;
Thorax;
Trachea
- From:Journal of the Korean Society of Neonatology
1999;6(2):258-262
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Massive pulmonary hemorrhage in neonates is defined as an acute onset of severe endotracheal bleeding with an acute drop in hematocrit and the development of multilobar infiltrates on chest radiograph. It results from a wide etiologic spectrum and is a potentially life-threatening disorder. We experienced a case of massive pulmonary hemorrhage in 1-day-old male who was small for gestational age and whose mother was complicated with severe pregnancy induced hypertension. He was hospitalized due to tachypnea and poor feeding 24 hours after birth, and bright bloody fluid was continually suctioned from the trachea 4 hours after admission. Packed red blood cell and fresh frozen plasma was transfused. Respiratory failure was refractory to conventional mechanical ventilation. He received surfactant replacement therapy 12 hours after pulmonary hemorrhage, and subsequently chest x-ray findings and oxygenation index improved. He was discharged on the 20th day of life without any problem.
