RT Journal
A1 Perlman JM, Tack ED, Martin TT, Shackelford GG, Amon EE
T1 ACute systemic organ injury in term infants after asphyxia
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD May 1
VO 143
IS 5
SP 617
OP 620
DO 10.1001/archpedi.1989.02150170119037
UL http://dx.doi.org/10.1001/archpedi.1989.02150170119037
AB • The systemic manifestations of "asphyxia" were evaluated prospectively in 35 consecutively intubated term newborn infants. The following systemic organ injuries were identified most often: (1) renal, ie, oliguria less than 1 mL/kg per hour for at least 24 hours (40%), an elevated urinary β-2-microglobulin concentration (57%), azotemia (11%), and an elevated serum creatinine level (17%); (2) central nervous system, ie, hypoxic-ischemic encephalopathy (including seizures) (31%) or an abnormal cranial ultrasound scan, ie, diffuse parenchymal echogenicity, slitlike ventricles, and poor visualization of the sulci, and/or intracranial hemorrhage (26%); (3) cardiovascular, ie, an abnormal echocardiogram (25%) or abnormal electrocardiogram (11%); (4) pulmonary complications, including persistent pulmonary hypertension (23%); and (5) gastrointestinal complications, which were rare. Traditional markers of fetal distress were not related to the frequency and/or distribution of systemic organ injury. An important implication of this study relates to the recognition of the extent and distribution of organ injury in the "asphyxiated" infant.(AJDC. 1989;143:617-620)