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Journal of the Korean Society of Neonatology ; : 109-115, 2010.
Article Dans Coréen | WPRIM | ID: wpr-223419

Résumé

Persistent pulmonary hypertension in newborns (PPHN) is a disorder of the vascular transition from fetal to neonatal circulation. It results in cyanosis due to right-to-left shunting of the blood through the ductus arteriosus and/or foramen ovale manifesting as hypoxemic respiratory failure. We managed two cases of PPHN after meconium aspiration with high frequency oscillating ventilators and inhaled nitric oxide. They did not respond to conventional management. Veno-venous extracorporeal membrane oxygenation (ECMO) was provided, and ECMO weaning was possible resulting survivals in two cases. We report two PPHN cases, which were treated successfully with veno-venous ECMO for the first time in Korea.


Sujets)
Humains , Nouveau-né , Cyanose , Ligament artériel , Oxygénation extracorporelle sur oxygénateur à membrane , Foramen ovale , Hypertension pulmonaire , Corée , Syndrome d'aspiration méconiale , Monoxyde d'azote , Insuffisance respiratoire , Respirateurs artificiels , Sevrage
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