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John L. Gwinn, MD; Fred A. Lee, MD; John T. Underberg, MD

Am J Dis Child. 1973;126(2):199-200.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Clinical History.—A 1,390 gm, 40 cm white female infant, the product of a 7 month pregnancy, was delivered spontaneously and shortly after birth developed respiratory distress with weak, irregular, grunting respiration, intercostal retractions, and a dusky color. The infant was placed in an incubator (Isolette) and an umbilical vein catheter inserted. The blood culture was negative. Venous co₂ content was 21.5, the pH 7.23, and the Pco₂ 49. The color improved with 30% oxygen, but the respiratory distress continued and the patient died at 40 hours of age.

Physical Examination.—The physical examination revealed an otherwise normal appearing premature infant in respiratory distress with bilateral crepitant rales and a respiratory rate of 60/min. The apical cardiac rate was 160/min. A chest roentgenogram was obtained (Fig 1) and a detail film of the findings in the right lung is illustrated (Fig 2).

Denouement and Discussion

Pulmonary Lymphangiectasia

Chest . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles; Waukesha, Wis

From the Childrens Hospital of Los Angeles.

Footnotes
Received for publication Feb 19, 1973; accepted Feb 26.

Reprint requests to 4650 Sunset Blvd, PO Box 54700, Los Angeles, CA 90054 (Dr. Gwinn).

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