 |
|
Radiological Case of the Month
LTC James S. Rawlings, MC;
LTC James L. Wilson, MC;
CPT José García, MC;
Lionel W. Young, MD
Am J Dis Child. 1985;139(12):1233-1234.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
A 2,640-g, male infant was delivered vaginally following a 36-week gestation. The pregnancy was complicated by severe preeclampsia. Labor was premature in onset and protracted, totaling over 19 hours. Apgar scores were 6 and 8 at one and five minutes, respectively.
The infant developed tachypnea, retractions, and grunting soon after birth. He was cyanotic and had diffuse rhonchi in both lungs, but was otherwise normal. Initial arterial blood-gas analyses demonstrated mild hypoxemia in room air, which was corrected with supplemental oxygen. Chest roentgenograms (Fig 1) were obtained 30 minutes after birth. The hematocrit value was 40% and serum total protein levels were 5.9 g/dL; results of routine laboratory tests were otherwise normal. A sepsis workup was performed and the infant was treated with antibiotics.
Six hours after birth the infant had developed an increasing oxygen requirement and respiratory acidosis. Positive pressure ventilation was initiated with good effect. Another chest roentgenogram
. . . [Full Text PDF of this Article]
Author Affiliations
USA; USA; USA
Contributed from the Departments of Pediatrics (Drs Rawlings and Garcia) and Radiology (Dr Wilson), Tripler Army Medical Center, Honolulu.
Footnotes
The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr L. W. Young).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
